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

Atlantic Dermatology LLC

Organization Dermatology Physician · NPI 1306957378

Atlantic Dermatology LLC is a Dermatology Physician in Cocoa Beach, Florida. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
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

1980 N Atlantic Ave Ste 722
Cocoa Beach, FL 32931-5213
Phone: (321) 784-8811
Fax: (321) 799-4424
Show map & directions

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

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X
Dermatology Physician Taxonomy 207N00000X
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X
Pediatric Dermatology Physician Taxonomy 207NP0225X

Record details

NPI number1306957378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Smallwood — President · (321) 784-8811
NPI enumeratedAugust 31, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1980 N Atlantic Ave, Suite 722, Cocoa Beach, FL 32931-5213

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