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

Wall Dermatology, LLC

Organization MOHS-Micrographic Surgery Physician · NPI 1003668328

Wall Dermatology, LLC is an MOHS-Micrographic Surgery Physician in St Petersburg, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

1700 66th St N Ste 300
St Petersburg, FL 33710-5500
Phone: (727) 432-3225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1003668328
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Weston Wall — Physician Owner · (727) 432-3225
NPI enumeratedApril 2, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address3000 Boca Ciega Dr N, Saint Petersburg, FL 33710-2834

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