Advanced Dermatology and Cosmetic Surq – Dermatology Physician, NPI 1083872535
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Advanced Dermatology and Cosmetic Surq
484 US HIGHWAY 1
STE C
SEBASTIAN, FL 329588497
Phone: (772) 646-6100
Fax: (772) 646-6110
Type: Location
151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States
STE 300
MAITLAND, FL 327517176
Phone: (407) 875-2080
Fax: (407) 650-3455
Type: Mailing
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
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-02-28
PECOS data refreshed: 2026-05-27
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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 32958)
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