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 1609757624

Skin Dermatology and Cosmetic Services, PA provides Dermatology Physician services in New Smyrna Beach, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

504 S Orange St
New Smyrna Beach, FL 32168-7319
Phone: (386) 256-1969
Fax: (386) 960-7863
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 number1609757624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ross Wheeler — Md · (386) 256-1969
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address865 Saxon Blvd, Orange City, FL 32763-8204

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