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

Gulf Coast Dermatology & Skin Care Centre PLLC

Organization Dermatology Physician · NPI 1750629788

Gulf Coast Dermatology & Skin Care Centre PLLC is a Dermatology Physician in Niceville, Florida. Registered with an NPI since 2013.

In the registry since
2013
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

4554 E Highway 20
Niceville, FL 32578-9755
Phone: (251) 631-3570
Fax: (251) 631-3572
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1750629788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Bender — Owner · (251) 631-3570
Other names Advanced Dermatology & Skin Care Centre Pllc
NPI enumeratedJanuary 25, 2013
Last updated in NPPESJanuary 25, 2013
Mailing address6701 Airport Blvd, Suite D232, Mobile, AL 36608-6705

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