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

Skin Dermatology and Cosmetic Services, PA

Organization Dermatology Physician · NPI 1003582123

Skin Dermatology and Cosmetic Services, PA provides Dermatology Physician services in Palm Coast, Florida. Registered with an NPI since 2021.

In the registry since
2021
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

84 Pinnacles Dr Ste 400
Palm Coast, FL 32164-2324
Phone: (386) 256-1969
Fax: (407) 599-7506
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1003582123
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawna Frame — Billing Manager · (423) 525-5993
NPI enumeratedAugust 18, 2021
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021
Mailing address865 Saxon Blvd, Orange City, FL 32763-8204

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