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

Proctor Dermatology & Skin Surgery PA

Organization Dermatology Physician · NPI 1780871491

Proctor Dermatology & Skin Surgery PA is a Dermatology Physician in South Pasadena, Florida. Registered with an NPI since 2007.

In the registry since
2007
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

1609 Pasadena Ave S Ste 4 0
South Pasadena, FL 33707-4565
Phone: (727) 345-8050
Fax: (727) 345-4344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1780871491
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Proctor — President · (727) 345-8050
NPI enumeratedSeptember 26, 2007
Last updated in NPPESFebruary 21, 2008
Mailing address1609 Pasadena Ave S, Suite 4 0, South Pasadena, FL 33707-4565

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