Advanced Dermatology and Cosmetic Surgery – Dermatology Physician, NPI 1487812939

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 1487812939

Main info

Organization
Name
Advanced Dermatology and Cosmetic Surgery
NPI
1487812939
Phone
(407) 875-2080
Address
2600 LAKE LUCIEN DR STE 180
Authorized Official
MRS. AMY DECLUE DIRECTOR, PROVIDER SERVICES
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

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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

  • 105, Boston Avenue, Altamonte Springs, Seminole County, Florida, 32701, United States

    ALTAMONTE SPRINGS, FL 327014711

    Phone: (407) 834-9191

    Fax: (407) 834-6157

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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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.

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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)

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Reviews

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Frequently asked questions

What is the standard ID for Advanced Dermatology and Cosmetic Surgery in the U.S.?
In the U.S., Advanced Dermatology and Cosmetic Surgery is identified by NPI 1487812939.
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.
What type of care does Advanced Dermatology and Cosmetic Surgery provide?
Advanced Dermatology and Cosmetic Surgery's profile centers on Dermatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Advanced Dermatology and Cosmetic Surgery?
Advanced Dermatology and Cosmetic Surgery is associated with Maitland, Florida in the same public data insurers reference.
Can I export Advanced Dermatology and Cosmetic Surgery's record?
You can download the official NPPES record; we summarize key fields for readability.

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