advanced dermatology and cosmetic surgery – Dermatology Physician, NPI 1164680658

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 1164680658

Main info

Organization
Name
advanced dermatology and cosmetic surgery
NPI
1164680658
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

Loading map...

Provider Addresses for advanced dermatology and cosmetic surgery

  • 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

  • Southwest 57th Avenue, South Miami, Miami-Dade County, Florida, 33124, United States

    SUITE 518

    SOUTH MIAMI, FL 331433622

    Phone: (305) 403-1181

    Fax: (305) 403-1230

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows advanced dermatology and cosmetic surgery across health systems?
The NPI 1164680658 uniquely identifies advanced dermatology and cosmetic surgery in U.S. healthcare data.
Does the public listing show advanced dermatology and cosmetic surgery as active?
advanced dermatology and cosmetic surgery's NPI record reflects an active status in NPPES.
What services align with advanced dermatology and cosmetic surgery's listing?
advanced dermatology and cosmetic surgery's public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit advanced dermatology and cosmetic surgery in Maitland, Florida?
For routing, start with Maitland, Florida for advanced dermatology and cosmetic surgery, then verify phone and hours locally.
Can I export advanced dermatology and cosmetic surgery's record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

Southhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1386648616

ANDREW K POLLACK (MD)

Dermatology Physician
151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1063416006

DR. JAY STUART GOTTLIEB (DO)

Dermatology Physician
1951, Southwest 172nd Avenue, Miramar, Broward County, Florida, 33029, United States
NPI: 1588660757
151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1417955584

DERMATOLOGICAL ASSOCIATES PC

Dermatology Physician
Southhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1043211436

WILLIAM J GRISAITIS (MD)

Dermatology Physician
331, Maitland Avenue, Maitland, Orange County, Florida, 32751, United States
NPI: 1063404051
151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1841285723

DR. CHERYL ABER (MD)

Dermatology Physician
151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1740275312

ALBANY DERMATOLOGY CLINIC, PA

Dermatology Physician
151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1295721512