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

Prestige Dermatology Inc

Organization Dermatology Physician · NPI 1205039682

Prestige Dermatology Inc is a Dermatology Physician in New Port Richey, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5091 Little Rd
New Port Richey, FL 34655
Phone: (727) 849-1447
Fax: (727) 849-3208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4546 Grand Blvd, New Port Richey, FL 34652-5119 — (727) 849-1447

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS7718 (FL)

Record details

NPI number1205039682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Natalie Monticciolo — Provider · (727) 849-1447
NPI enumeratedJune 6, 2007
Last updated in NPPESOctober 1, 2019
Mailing address5091 Little Road, New Port Richey, FL 34655

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