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

St Petersburg Skin and Laser Center LLC

Organization Dermatology Physician · NPI 1205475761

St Petersburg Skin and Laser Center LLC provides Dermatology Physician services in St Petersburg, Florida. Registered with an NPI since 2020.

In the registry since
2020
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

100 40th Ave N
St Petersburg, FL 33703-6125
Phone: (727) 474-9399
Fax: (202) 436-9358
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 number1205475761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katarina Kesty — Physician · (727) 474-4938
NPI enumeratedJanuary 2, 2020
Last updated in NPPESMay 28, 2020
Certification dateMay 28, 2020
Mailing address100 40th Ave N, St Petersburg, FL 33703-6125

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