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

Creekside Dermatology PA

Organization Dermatology Physician · NPI 1740703818

Creekside Dermatology PA provides Dermatology Physician services in The Villages, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
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

8630 E County Road 466 Ste A
The Villages, FL 32162-5614
Phone: (352) 399-7295
Fax: (352) 399-7294
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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 108772 (FL)

Record details

NPI number1740703818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Casper — President · (352) 399-7295
NPI enumeratedJuly 20, 2017
Last updated in NPPESJuly 20, 2017
Mailing address8620 E County Road 466, The Villages, FL 32162-3670

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