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

Creekside Dermatology PA

Organization Dermatology Physician · NPI 1740703818

Creekside Dermatology PA is a Dermatology Physician in The Villages, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
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

8630 E County Road 466 Ste A
The Villages, FL 32162-5614
Phone: (352) 399-7295
Fax: (352) 399-7294
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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 108772 (FL)

Record details

NPI number1740703818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Casper — President · (352) 399-7295
NPI enumeratedJuly 20, 2017
Last updated in NPPESJuly 20, 2017
Mailing address8620 E County Road 466, The Villages, FL 32162-3670

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