Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Citrus Park Dermatology, PA

Organization Dermatology Physician · NPI 1174703318

Citrus Park Dermatology, PA provides Dermatology Physician services in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6540 Gunn Hwy
Tampa, FL 33625-4022 Not confirmed with CMS for 18 years — call before visiting
Phone: (813) 269-4122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME 72688 (FL)

Record details

NPI number1174703318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Smith — President · (813) 269-4122
NPI enumeratedNovember 5, 2007
Last updated in NPPESNovember 5, 2007
Mailing address6540 Gunn Hwy, Tampa, FL 33625-4022

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