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

Palm Harbor Dermatology PA

Organization Dermatology Physician · NPI 1497927016

Palm Harbor Dermatology PA is a Dermatology Physician in Palm Harbor, Florida. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
3
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

4197 Woodlands Pkwy
Palm Harbor, FL 34685-3493
Phone: (727) 786-3810
Fax: (727) 786-3855
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X

Record details

NPI number1497927016
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Ross — Ceo · (813) 333-1512
Other names Phdermatology
NPI enumeratedMarch 25, 2008
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025
Mailing address4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493

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