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

Integrated Dermatology of Tidewater LLC

Organization Dermatology Physician · NPI 1801238472

Integrated Dermatology of Tidewater LLC provides Dermatology Physician services in Norfolk, Virginia. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

885 Kempsville Rd Ste 309
Norfolk, VA 23502-3800
Phone: (757) 461-1033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1801238472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Queen — Owner · (514) 314-2000
NPI enumeratedJuly 24, 2013
Last updated in NPPESJanuary 29, 2019
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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