ORLANDO DERMATOLOGY CLINIC, LLC – Dermatology Physician, NPI 1043900947

ORLANDO DERMATOLOGY CLINIC, LLC is a healthcare provider. based in The villages, Florida. specializing in Dermatology Physician. The NPI Number for ORLANDO DERMATOLOGY CLINIC, LLC is 1043900947

Main info

Organization
Name
ORLANDO DERMATOLOGY CLINIC, LLC
NPI
1043900947
Phone
Not provided
Address
1040 LAKE SUMTER LNDG
Authorized Official
TAREK S SHAATH OWNER
Enumeration Date
12 May 2023
Last Update Date
24 November 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

Provider Addresses for ORLANDO DERMATOLOGY CLINIC, LLC

  • 1040 LAKE SUMTER LNDG

    THE VILLAGES, FL 321622697

    Phone:

    Type: Mailing

  • 2548 S VOLUSIA AVE

    ORANGE CITY, FL 327639124

    Phone: (352) 218-3211

    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

Source: CMS public data · Not endorsed by CMS ·

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

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 32162)

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Reviews

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Frequently asked questions

Where can patients find ORLANDO DERMATOLOGY CLINIC, LLC's NPI?
You can confirm ORLANDO DERMATOLOGY CLINIC, LLC with NPI 1043900947; it appears in the national provider directory.
Is ORLANDO DERMATOLOGY CLINIC, LLC's NPI currently valid?
The extract we use shows ORLANDO DERMATOLOGY CLINIC, LLC as active.
What does ORLANDO DERMATOLOGY CLINIC, LLC treat or focus on?
Patients typically see ORLANDO DERMATOLOGY CLINIC, LLC under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location shows for ORLANDO DERMATOLOGY CLINIC, LLC?
We surface The Villages, Florida for ORLANDO DERMATOLOGY CLINIC, LLC based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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