Divine Dermatology and Surgical Institute, PLLC
Divine Dermatology and Surgical Institute, PLLC is a Medical Specialty Clinic/Center in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2017.
- Licensed in
- CO
- In the registry since
- 2017
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1260 Doctors LnFort Collins, CO 80524-4038
Phone: (813) 765-8453
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence DR.0058205 (CO) |
|---|
Record details
| NPI number | 1215460290 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Divine — Owner · (970) 388-2850 |
| NPI enumerated | April 6, 2017 |
| Last updated in NPPES | September 10, 2024 |
| Certification date | September 10, 2024 |
| Mailing address | 1260 Doctors Ln Ste A, Fort Collins, CO 80524-4072 |
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