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

Dermatologist LLC

Organization Dermatology Physician · NPI 1336899061

Dermatologist LLC is a Dermatology Physician in Tampa, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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

9724 N Armenia Ave Ste 300
Tampa, FL 33612-7550
Phone: (440) 804-5996
Fax: (216) 758-4783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1336899061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olga Demidova — Director · (216) 280-1343
NPI enumeratedMarch 25, 2022
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address9724 N Armenia Ave Ste 300, Tampa, FL 33612-7550

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