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Bw Dermatology PLLC — NPI 1831026004, Melbourne, FL | NPI Central

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NPI 1831026004

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Bw Dermatology PLLC

NPI 1831026004 · MOHS-Micrographic Surgery Physician · Melbourne, FL

Provider details

NPI number: 1831026004
Entity type: Organization
Primary specialty: MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Andrew Kelsey, Ceo(321) 406-8615

Specialties & taxonomies

MOHS-Micrographic Surgery PhysicianPrimary207ND0101X
Allopathic & Osteopathic Physicians
Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians

Practice location

2339 Medico Ln Ste 101

Melbourne, FL 32940-8946

Phone: (321) 406-8615

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

2339 Medico Ln Ste 101

Melbourne, FL 32940-8946

Other names (DBA / former)

Doing business as: Bluewater Dermatology

Registry dates

Enumerated: 2026-05-04
Last updated: 2026-05-04
Certified: 2026-05-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.