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Divine Dermatology and Surgical Institute, Pllc

Medical Specialty Clinic/Center in Fort Collins, CO · enumerated 2017 · authorized official Jennifer Divine, Owner.

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

National Provider Identifier

1215460290

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Registry record

Entity type Organization (Type 2)
Legal business name Divine Dermatology and Surgical Institute, Pllc
Practice address 1260 Doctors Ln, Fort Collins, CO, 80524
Phone (813) 765-8453
Enumeration date Apr 6, 2017
Last updated in NPPES Sep 10, 2024

Taxonomy & classification

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License DR.0058205 (CO) Primary

Authorized official

Name Jennifer Divine
Title Owner
Phone (970) 388-2850

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

Where is Divine Dermatology and Surgical Institute, Pllc located?
The practice location on file with NPPES is in Fort Collins, CO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-09-10. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-10.