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

Citrus Park Dermatology, PA

Organization Dermatology Physician · NPI 1174703318

Citrus Park Dermatology, PA is a Dermatology Physician in Tampa, 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

6540 Gunn Hwy
Tampa, FL 33625-4022
Phone: (813) 269-4122
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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 ME 72688 (FL)

Record details

NPI number1174703318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Smith — President · (813) 269-4122
NPI enumeratedNovember 5, 2007
Last updated in NPPESNovember 5, 2007
Mailing address6540 Gunn Hwy, Tampa, FL 33625-4022

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