OrganizationActive
Divine Dermatology PLLC
NPI 1508976010 · Dermatology Physician · St Petersburg, FL
Provider details
- NPI number
- 1508976010
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Neha Chandan, Owner(727) 528-0321
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2191 9th Ave N Ste 100
St Petersburg, FL 33713-7147
Phone: (727) 528-0321
Fax: (727) 498-8832
Street-level locationGet directions
Mailing address
2191 9th Ave N Ste 100
St Petersburg, FL 33713-7147
Other names (DBA / former)
- Doing business as
- Prime Dermatology
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.