OrganizationActive
Gulfshore Dermatology at Coralwood, PA
NPI 1376029579 · Procedural Dermatology Physician · Cape Coral, FL
Provider details
- NPI number
- 1376029579
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Smith, Vice President(239) 437-0562
- License
- ME74107 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
326 Del Prado Blvd N Ste 301
Cape Coral, FL 33909-2288
Phone: (239) 458-1131
Fax: (239) 458-7789
Street-level locationGet directions
Mailing address
326 Del Prado Blvd N Ste 301
Cape Coral, FL 33909-2288
Registry dates
- Enumerated
- 2018-07-11
- Last updated
- 2018-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.