Organization
DIVINE DERMATOLOGY PLLC
Active
Organization
DIVINE DERMATOLOGY PLLC
Active
Other names
Prime Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEHA CHANDAN MD (OWNER)
(727) 528-0321
Entity
Organization
Contact information
Practice address
2191 9TH AVE N STE 100, ST PETERSBURG, FL 33713-7147
(727) 528-0321
(727) 498-8832
Mailing address
2191 9TH AVE N STE 100, ST PETERSBURG, FL 33713-7147
(727) 528-0321
(727) 498-8832
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME87149
FL
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
08/30/2006
Last updated
06/04/2026
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