Smallwood, Kristin Widick

Smallwood, Kristin Widick is an individual health care provider with primary practice located at 1980 N Atlantic Ave Suite 722, Cocoa Beach FL 32931-5213. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Smallwood, Kristin Widick can be contacted via phone (321) 784-8811.

Contact Information

Primary practice address
1980 N Atlantic Ave Suite 722 Cocoa Beach FL 32931-5213
Phone: (321) 784-8811
Fax: (321) 799-4424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0056367 Florida
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 0056367 Florida
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 0056367 Florida
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 0056367 Florida

Profile Details

NPI number 1346350352
LBN Legal business name Smallwood, Kristin Widick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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