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

Clearwater Dermatology, PA

Organization Dermatology Physician · NPI 1780659094

Clearwater Dermatology, PA provides Dermatology Physician services in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

1122 Druid Rd E
Clearwater, FL 33756-4100 Not confirmed with CMS for 12 years — call before visiting
Phone: (727) 461-2282
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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 ME0021279 (FL)

Record details

NPI number1780659094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Golomb — President · (727) 461-2282
NPI enumeratedFebruary 21, 2006
Last updated in NPPESDecember 30, 2013
Mailing address1122 Druid Rd E, Clearwater, FL 33756-4100

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