advanced Dermatology and cosmetic sur – Dermatology Physician, NPI 1184882672

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 1184882672

Main info

Organization
Name
advanced Dermatology and cosmetic sur
NPI
1184882672
Phone
(407) 875-2080
Address
2600 LAKE LUCIEN DR
Authorized Official
NEFRITA LOGAN PRO SER REP
Enumeration Date
30 May 2008
Last Update Date
29 September 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

  • 1435, West 49th Place, Hialeah, Miami-Dade County, Florida, 33012, United States

    SUITE 702

    HIALEAH, FL 330123197

    Phone: (305) 828-7504

    Fax: (305) 828-7506

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

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Medicare Utilization (FFS)

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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

Is advanced Dermatology and cosmetic sur listed with a National Provider Identifier?
Yes — advanced Dermatology and cosmetic sur has NPI 1184882672 on file in the registry.
Is advanced Dermatology and cosmetic sur shown as active in public data?
Registry records indicate advanced Dermatology and cosmetic sur maintains an active NPI.
What clinical focus is listed for advanced Dermatology and cosmetic sur?
At a glance, advanced Dermatology and cosmetic sur is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is advanced Dermatology and cosmetic sur associated with Maitland?
Public fields place advanced Dermatology and cosmetic sur around Maitland, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for advanced Dermatology and cosmetic sur?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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