Individual
MRS. KRISTIN WIDICK SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1980 N ATLANTIC AVE, SUITE 722, COCOA BEACH, FL 32931-5213
(321) 784-8811
(321) 799-4424
Mailing address
1980 N ATLANTIC AVE, SUITE 722, COCOA BEACH, FL 32931-5213
(321) 784-8811
(321) 799-4424
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0056367
FL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
0056367
FL
207NP0225X
Pediatric Dermatology Physician
Primary
0056367
FL
207NS0135X
Procedural Dermatology Physician
0056367
FL
Other
Enumeration date
08/30/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us