Advanced Dermatology and Cosmetic SUr – Dermatology Physician, NPI 1003074592

Advanced Dermatology and Cosmetic SUr is a healthcare provider. based in Maitland, Florida. specializing in Dermatology Physician. The NPI Number for Advanced Dermatology and Cosmetic SUr is 1003074592

Main info

Organization
Name
Advanced Dermatology and Cosmetic SUr
NPI
1003074592
Phone
(407) 875-2080
Address
2600 LAKE LUCIEN DR
Authorized Official
NEFRITA LOGAN PRO SER REP
Enumeration Date
30 May 2008
Last Update Date
21 April 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Advanced Dermatology and Cosmetic SUr

  • 2600, Lake Lucien Drive, Maitland, Orange County, Florida, 32751, United States

    SUITE 180

    MAITLAND, FL 327517233

    Phone: (407) 875-2080

    Fax: (407) 875-0518

    Type: Mailing

  • 3275, Ponce de Leon Boulevard, Coral Gables, Miami-Dade County, Florida, 33134, United States

    CORAL GABLES, FL 331347251

    Phone: (305) 461-2000

    Fax: (786) 228-4035

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32751)

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Reviews

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Frequently asked questions

Does Advanced Dermatology and Cosmetic SUr have a public NPI I can cite?
Public records show Advanced Dermatology and Cosmetic SUr under NPI 1003074592.
Quick check: is Advanced Dermatology and Cosmetic SUr active?
Public NPPES data shows Advanced Dermatology and Cosmetic SUr with an active NPI status right now.
What services align with Advanced Dermatology and Cosmetic SUr's listing?
Advanced Dermatology and Cosmetic SUr's public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Advanced Dermatology and Cosmetic SUr?
Advanced Dermatology and Cosmetic SUr is associated with Maitland, Florida in the same public data insurers reference.
Who maintains Advanced Dermatology and Cosmetic SUr's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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