Advanced Dermatology and Cosmetic Surgery – Dermatology Physician, NPI 1285892745

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 1285892745

Main info

Organization
Name
Advanced Dermatology and Cosmetic Surgery
NPI
1285892745
Phone
(407) 875-2080
Address
2600 LAKE LUCIEN DR STE 180
Authorized Official
NEFRITA LOGAN PROVIDER SERVICES REP
Enumeration Date
30 May 2008
Last Update Date
22 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

  • 205, Broadway Street, Lake Charm, Oviedo, Seminole County, Florida, 32765, United States

    OVIEDO, FL 327656472

    Phone: (407) 359-2100

    Fax: (407) 359-5445

    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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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

How do I look up Advanced Dermatology and Cosmetic Surgery by NPI?
Use NPI 1285892745 when you need to reference Advanced Dermatology and Cosmetic Surgery in forms, claims, or directories.
Is Advanced Dermatology and Cosmetic Surgery active in the national directory?
Advanced Dermatology and Cosmetic Surgery's public NPI profile is in an active state.
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.
Where does public data place Advanced Dermatology and Cosmetic Surgery?
The snapshot lists Maitland, Florida for Advanced Dermatology and Cosmetic Surgery; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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