Dermatology
COUNTRYSIDE DERMATOLOGY AND LASER CENTER INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1194914978 · enumerated 2007-10-17 · record updated 2007-10-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. SUSAN ROPER M.D., Owner · (727) 791-1411
Addresses and phones
- Mailing address 2467 ENTERPRISE RD, SUITE A, CLEARWATER, FL, 33763-1724 (727) 791-1411 Fax (727) 791-1419 Google Maps Apple Maps OpenStreetMap
- Practice location 2467 ENTERPRISE RD, SUITE A, CLEARWATER, FL, 33763-1724 (727) 791-1411 Fax (727) 791-1419 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License 46341 FL
In this directory
Locations and evidence
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Practice location
CLEARWATER, FL, 337631724
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.