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

Gulfshore Dermatology at Coralwood, PA

Organization Procedural Dermatology Physician · NPI 1376029579

Gulfshore Dermatology at Coralwood, PA is a Procedural Dermatology Physician in Cape Coral, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

326 Del Prado Blvd N Ste 301
Cape Coral, FL 33909-2288
Phone: (239) 458-1131
Fax: (239) 458-7789
Show map & directions

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

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence ME74107 (FL)

Record details

NPI number1376029579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Smith — Vice President · (239) 437-0562
NPI enumeratedJuly 11, 2018
Last updated in NPPESJuly 11, 2018
Mailing address326 Del Prado Blvd N Ste 301, Cape Coral, FL 33909-2288

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