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Gulfshore Dermatology at Coralwood, PA

Procedural Dermatology Physician in Cape Coral, FL · enumerated 2018 · authorized official Andrew Smith, Vice President.

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

National Provider Identifier

1376029579

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Registry record

Entity type Organization (Type 2)
Legal business name Gulfshore Dermatology at Coralwood, PA
Practice address 326 Del Prado Blvd N Ste 301, Cape Coral, FL, 33909
Fax (239) 458-7789
Enumeration date Jul 11, 2018
Last updated in NPPES Jul 11, 2018

Taxonomy & classification

207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License ME74107 (FL) Primary

Authorized official

Name Andrew Smith
Title Vice President

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

Who is the authorized official for Gulfshore Dermatology at Coralwood, PA?
NPPES lists Andrew Smith (Vice President) as the authorized official for this organization.
What is the NPI number for Gulfshore Dermatology at Coralwood, PA?
The NPI for Gulfshore Dermatology at Coralwood, PA is 1376029579, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-07-11.