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

Atlantic Skin Surgery LLC

Organization Surgery Physician · NPI 1942555289

Atlantic Skin Surgery LLC is a Surgery Physician in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
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

176 NW Magnolia Lakes Blvd
Port St Lucie, FL 34986-3567
Phone: (772) 828-1907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME66880 (FL)

Record details

NPI number1942555289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard James — Chief Operating Officer · (772) 828-1907
NPI enumeratedJuly 23, 2012
Last updated in NPPESJuly 23, 2012
Mailing address176 Nw Magnolia Lakes Blvd, Port St Lucie, FL 34986-3567

Other providers in Port St Lucie