Advanced Dermatology and Cosmetic Surgery – Dermatology Physician, NPI 1194967331

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 1194967331

Main info

Organization
Name
Advanced Dermatology and Cosmetic Surgery
NPI
1194967331
Phone
(407) 875-2080
Address
2600 LAKE LUCIEN DR
Authorized Official
NEFRITA LOGAN PROVIDER REPRESENTATIVE
Enumeration Date
2 April 2009
Last Update Date
2 April 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness80
Years active:17State 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

  • Celebration Plaza, Ludhiana, Ludhiana (West) Tahsil, Ludhiana, Punjab, India

    SUITE 301

    CELEBRATION, FL 347475433

    Phone: (407) 566-1616

    Fax: (407) 566-1617

    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

Is there an official ID for Advanced Dermatology and Cosmetic Surgery in U.S. healthcare records?
The official identifier for Advanced Dermatology and Cosmetic Surgery is NPI 1194967331.
Active or inactive — what applies to Advanced Dermatology and Cosmetic Surgery?
You should see Advanced Dermatology and Cosmetic Surgery as active in CMS-hosted NPPES data.
How would a patient describe Advanced Dermatology and Cosmetic Surgery's focus?
For Advanced Dermatology and Cosmetic Surgery, the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Advanced Dermatology and Cosmetic Surgery?
Travel planning: use Maitland, Florida as the reference point for Advanced Dermatology and Cosmetic Surgery, then confirm.
Does Advanced Dermatology and Cosmetic Surgery accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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