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

Winter Haven Dermatology PA

Organization Dermatology Physician · NPI 1528278363

Winter Haven Dermatology PA is a Dermatology Physician in Winter Haven, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

560 Avenue K SE
Winter Haven, FL 33880-4203
Phone: (863) 299-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME75639 (FL)

Record details

NPI number1528278363
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stepan Oliva — Owner · (863) 299-3376
NPI enumeratedMay 23, 2007
Last updated in NPPESMay 14, 2008
Mailing address560 Avenue K Se, Winter Haven, FL 33880-4203

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