Healthcare Provider Details

I. General information

NPI: 1619832409
Provider Name (Legal Business Name): SKIN WELLNESS PHYSICIANS, LLC - DERMATOPATHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 GOODLETTE RD STE 203
NAPLES FL
34102-5251
US

IV. Provider business mailing address

1300 GOODLETTE RD STE 203
NAPLES FL
34102-5251
US

V. Phone/Fax

Practice location:
  • Phone: 239-732-0044
  • Fax: 239-732-0044
Mailing address:
  • Phone: 239-732-0044
  • Fax: 239-732-0094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number
License Number State

VIII. Authorized Official

Name: CRISTINA DUSKIN
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 239-732-0044