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

Skin Dermatology and Cosmetic Services, PA

Organization Dermatology Physician · NPI 1003582123

Skin Dermatology and Cosmetic Services, PA is a Dermatology Physician in Palm Coast, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

84 Pinnacles Dr Ste 400
Palm Coast, FL 32164-2324
Phone: (386) 256-1969
Fax: (407) 599-7506
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1003582123
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawna Frame — Billing Manager · (423) 525-5993
NPI enumeratedAugust 18, 2021
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021
Mailing address865 Saxon Blvd, Orange City, FL 32763-8204

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