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

Vital Dermatology LLC

Organization Dermatology Physician · NPI 1386289585

Vital Dermatology LLC is a Dermatology Physician in Pensacola, Florida. Registered with an NPI since 2019.

In the registry since
2019
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

6202 N 9th Ave Ste 2
Pensacola, FL 32504-8291
Phone: (850) 888-2424
Fax: (620) 710-7703
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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 number1386289585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenna Beasley — Owner · (850) 888-2424
Other names Vital Dermatology
NPI enumeratedNovember 12, 2019
Last updated in NPPESMay 3, 2020
Certification dateMay 3, 2020
Mailing address6202 N 9th Ave Ste 2, Pensacola, FL 32504-8291

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