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

Integrated Dermatology of Tampa, LLC

Organization Dermatology Physician · NPI 1144637364

Integrated Dermatology of Tampa, LLC is a Dermatology Physician in Tampa, Florida. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15310 Amberly Dr Ste 150
Tampa, FL 33647-2199
Phone: (813) 978-8888
Fax: (813) 972-8974
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1144637364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Queen — Manager · (561) 314-2000
NPI enumeratedJuly 21, 2014
Last updated in NPPESJuly 21, 2014
Mailing address902 Clint Moore Rd, Suite 226, Boca Raton, FL 33487-2800

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