Advanced Dermatology and Cosmetic Surgery – Dermatology Physician, NPI 1407146194

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 1407146194

Main info

Organization
Name
Advanced Dermatology and Cosmetic Surgery
NPI
1407146194
Phone
(407) 875-2080
Address
2600 LAKE LUCIEN DR
Authorized Official
NEFRITA LOGAN PROVIDER SERIVCE REP
Enumeration Date
14 April 2011
Last Update Date
14 April 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:15State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Advanced Dermatology and Cosmetic Surgery

  • 2600 LAKE LUCIEN DR

    SUITE 180

    MAITLAND, FL 327517233

    Phone: (407) 875-2080

    Fax: (407) 875-0518

    Type: Mailing

  • 2001 MANATEE AVE E

    SUITE 101

    BRADENTON, FL 342081620

    Phone: (888) 540-9660

    Fax: (407) 875-0518

    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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Frequently asked questions

What identifier follows Advanced Dermatology and Cosmetic Surgery across health systems?
The NPI 1407146194 uniquely identifies Advanced Dermatology and Cosmetic Surgery in U.S. healthcare data.
Should I treat Advanced Dermatology and Cosmetic Surgery as an active provider?
Patients and plans typically see Advanced Dermatology and Cosmetic Surgery as active in the national extract.
How should patients interpret Advanced Dermatology and Cosmetic Surgery's specialty?
The extract shows Dermatology Physician for Advanced Dermatology and Cosmetic Surgery. Clinical services aligned with this taxonomy classification.
Is Advanced Dermatology and Cosmetic Surgery tied to Maitland, Florida?
If you are local to Maitland, Florida, Advanced Dermatology and Cosmetic Surgery may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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