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

Divine Dermatology PLLC

Organization Dermatology Physician · NPI 1508976010

Divine Dermatology PLLC is a Dermatology Physician in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2191 9th Ave N Ste 100
St Petersburg, FL 33713-7147
Phone: (727) 528-0321
Fax: (727) 498-8832
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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 ME87149 (FL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1508976010
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neha Chandan — Owner · (727) 528-0321
Other names Prime Dermatology
NPI enumeratedAugust 30, 2006
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address2191 9th Ave N Ste 100, St Petersburg, FL 33713-7147

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