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

South Alabama Dermatology and Surgery Center LLC

Organization Dermatology Physician · NPI 1427982818

South Alabama Dermatology and Surgery Center LLC is a Dermatology Physician in Daphne, Alabama. Registered with an NPI since 2026.

In the registry since
2026
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

6451 Merritt Blvd Ste D
Daphne, AL 36526-4827
Phone: (917) 836-5771
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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

Record details

NPI number1427982818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larisa Ravitskiy — Medical Director · (917) 693-9625
Other names South Alabama Dermatology
NPI enumeratedJune 10, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address6451 Merritt Blvd Ste D, Daphne, AL 36526-4827

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