Advanced Dermatology and Cosmetic Sur – Dermatology Physician, NPI 1023276516

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 1023276516

Main info

Organization
Name
Advanced Dermatology and Cosmetic Sur
NPI
1023276516
Phone
(407) 875-2080
Address
2600 LAKE LUCIEN DR
Authorized Official
NEFRITA LOGAN PRO SER REP
Enumeration Date
30 May 2008
Last Update Date
12 July 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

  • 3661, South Miami Avenue, Bay Heights, Miami, Miami-Dade County, Florida, 33133, United States

    SUITE 702

    MIAMI, FL 331334236

    Phone: (305) 652-8600

    Fax: (305) 682-3139

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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 1023276516.
Is Advanced Dermatology and Cosmetic Sur's NPI status active today?
Active status means Advanced Dermatology and Cosmetic Sur's NPI record is not deactivated in the public file.
How should patients interpret Advanced Dermatology and Cosmetic Sur's specialty?
The extract shows Dermatology Physician for Advanced Dermatology and Cosmetic Sur. Clinical services aligned with this taxonomy classification.
Which community is linked to Advanced Dermatology and Cosmetic Sur?
Advanced Dermatology and Cosmetic Sur shows a connection to Maitland, Florida in registry-derived data.
Why is information missing for Advanced Dermatology and Cosmetic Sur?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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