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Countryside Dermatology and Laser Center Inc

Dermatology Physician in Clearwater, FL · enumerated 2007 · authorized official Susan Roper, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194914978

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Registry record

Entity type Organization (Type 2)
Legal business name Countryside Dermatology and Laser Center Inc
Practice address 2467 Enterprise Rd, Suite A, Clearwater, FL, 33763
Phone (727) 791-1411
Fax (727) 791-1419
Enumeration date Oct 17, 2007
Last updated in NPPES Oct 17, 2007

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 46341 (FL) Primary

Authorized official

Name Susan Roper
Title Owner
Phone (727) 791-1411

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Countryside Dermatology and Laser Center Inc?
The NPI for Countryside Dermatology and Laser Center Inc is 1194914978, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Countryside Dermatology and Laser Center Inc?
NPPES lists Susan Roper (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-17.