Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Gulfshore Dermatology at Coralwood, PA

Organization Procedural Dermatology Physician · NPI 1376029579

Gulfshore Dermatology at Coralwood, PA provides Procedural Dermatology Physician services in Cape Coral, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
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

326 Del Prado Blvd N Ste 301
Cape Coral, FL 33909-2288
Phone: (239) 458-1131
Fax: (239) 458-7789
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence ME74107 (FL)

Record details

NPI number1376029579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Smith — Vice President · (239) 437-0562
NPI enumeratedJuly 11, 2018
Last updated in NPPESJuly 11, 2018
Mailing address326 Del Prado Blvd N Ste 301, Cape Coral, FL 33909-2288

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