Patriot Dermatology, Scorp
Dermatology in Sarasota, FL. Organization (NPI-2).
NPI number1265130413
StatusActive
Last updated in NPPESOct 6, 2026
Details
- NPI
- 1265130413
- Entity type
- Organization (NPI-2)
- Legal business name
- Patriot Dermatology, Scorp
- Organization subpart
- No
- Enumeration date
- Feb 17, 2023
- Certification date
- Oct 6, 2026
- Last updated
- Oct 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
5317 Colewood PlSarasota, FL 34232-5607
Phone 941-500-4816
Mailing address
638 Lawrenceville RdLawrence Township, NJ 08648-4208
Phone 609-337-7643
Authorized official
Erine A Kupetsky
Owner, Dermatologist
6093377643
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