Organization
ISLAND DERMATOLOGY AND WELLNESS
Active
Other names
Island Dermatology and Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN VERPAELE APRN (APRN)
(321) 693-6330
Entity
Organization
Contact information
Practice address
6470 US HIGHWAY 1, ROCKLEDGE, FL 32955-5747
(321) 693-6330
Mailing address
6470 US1, ROCKLEDGE, FL 32955-5226
(321) 693-6330
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/06/2023
Last updated
07/01/2024
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