Advanced Dermatology and Cosmetic Surgery – Dermatology Physician, NPI 1093973588

Advanced Dermatology and Cosmetic Surgery is a healthcare provider. based in Maitland, Florida. specializing in Dermatology Physician. The NPI Number for Advanced Dermatology and Cosmetic Surgery is 1093973588

Main info

Organization
Name
Advanced Dermatology and Cosmetic Surgery
NPI
1093973588
Phone
(407) 875-2080
Address
2600 LAKE LUCIEN DR STE 180
Authorized Official
AMY DECLUE DIRECTOR, PROVIDER SERVICES
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 Surgery

  • Lake Lucien Drive, Maitland, Orange County, Florida, 32810, United States

    MAITLAND, FL 327517235

    Phone: (407) 875-2080

    Fax: (407) 875-0518

    Type: Mailing

  • 2, Dunlawton Avenue, Port Orange, Daytona Beach Shores, Volusia County, Florida, 32127, United States

    PORT ORANGE, FL 321272916

    Phone: (386) 322-8310

    Fax: (386) 322-8370

    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

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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)

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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

Where can patients find Advanced Dermatology and Cosmetic Surgery's NPI?
You can confirm Advanced Dermatology and Cosmetic Surgery with NPI 1093973588; it appears in the national provider directory.
Does this profile mean Advanced Dermatology and Cosmetic Surgery is currently active?
Yes — Advanced Dermatology and Cosmetic Surgery appears active in the national provider directory.
What field does Advanced Dermatology and Cosmetic Surgery work in?
You can think of Advanced Dermatology and Cosmetic Surgery as practicing within Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location shows for Advanced Dermatology and Cosmetic Surgery?
We surface Maitland, Florida for Advanced Dermatology and Cosmetic Surgery based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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