Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Winter Haven Dermatology PA

Organization Dermatology Physician · NPI 1528278363

Winter Haven Dermatology PA provides Dermatology Physician services in Winter Haven, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

560 Avenue K SE
Winter Haven, FL 33880-4203 Not confirmed with CMS for 18 years — call before visiting
Phone: (863) 299-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME75639 (FL)

Record details

NPI number1528278363
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stepan Oliva — Owner · (863) 299-3376
NPI enumeratedMay 23, 2007
Last updated in NPPESMay 14, 2008
Mailing address560 Avenue K Se, Winter Haven, FL 33880-4203

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