Emerald Coast Dermatology & Skin Surgery Center PA
Emerald Coast Dermatology & Skin Surgery Center PA provides Dermatology Physician services in Crestview, Florida. Licensed in Florida. Registered with an NPI since 2005.
- Licensed in
- FL
- In the registry since
- 2005
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
350 Redstone Ave WCrestview, FL 32536-6433
Phone: (850) 689-1740
Fax: (850) 682-6652
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
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence ME0061435 (FL) |
|---|
Record details
| NPI number | 1386639912 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jillian Owens — Credentialing And Contracting · (850) 689-1740 |
| NPI enumerated | September 20, 2005 |
| Last updated in NPPES | September 25, 2026 |
| Certification date | September 25, 2026 |
| Mailing address | 350 Redstone Ave W, Crestview, FL 32536-6433 |
Other providers in Crestview
-
Dr. Kara Trapp Reardon, MD
350 Redstone Ave W, Crestview, FL 32536-6433 · (850) 689-1740
-
Dr. Charles F Trapp, MD
350 Redstone Ave W, Crestview, FL 32536-6433 · (850) 689-1740