Organization
ISLAND DERMATOLOGY AND WELLNESS
Active
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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