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

St Petersburg Skin and Laser Center LLC

Organization Dermatology Physician · NPI 1205475761

St Petersburg Skin and Laser Center LLC is a Dermatology Physician in St Petersburg, Florida. Registered with an NPI since 2020.

In the registry since
2020
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

100 40th Ave N
St Petersburg, FL 33703-6125
Phone: (727) 474-9399
Fax: (202) 436-9358
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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 number1205475761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katarina Kesty — Physician · (727) 474-4938
NPI enumeratedJanuary 2, 2020
Last updated in NPPESMay 28, 2020
Certification dateMay 28, 2020
Mailing address100 40th Ave N, St Petersburg, FL 33703-6125

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