Advanced Dermatology and Cosmetic Sur – Dermatology Physician, NPI 1487812947

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 1487812947

Main info

Organization
Name
Advanced Dermatology and Cosmetic Sur
NPI
1487812947
Phone
(407) 875-2080
Address
151 SOUTHHALL LN
Authorized Official
AMY DECLUE DIRECTOR, PROVIDER SERVICES
Enumeration Date
30 May 2008
Last Update Date
4 December 2014
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

  • 151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States

    STE 300

    MAITLAND, FL 327517176

    Phone: (407) 875-2080

    Fax: (407) 650-3455

    Type: Mailing

  • 1905, Clint Moore Road, Boca Raton, Palm Beach County, Florida, 33496, United States

    SUITE 103

    BOCA RATON, FL 334962658

    Phone: (561) 241-4474

    Fax: (561) 241-9667

    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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Frequently asked questions

Can I cross-check Advanced Dermatology and Cosmetic Sur using NPI 1487812947?
NPI 1487812947 belongs to Advanced Dermatology and Cosmetic Sur; compare other details if you need extra assurance.
Active or inactive — what applies to Advanced Dermatology and Cosmetic Sur?
You should see Advanced Dermatology and Cosmetic Sur as active in CMS-hosted NPPES data.
What expertise is attributed to Advanced Dermatology and Cosmetic Sur?
Advanced Dermatology and Cosmetic Sur's specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is Advanced Dermatology and Cosmetic Sur located near Maitland?
Advanced Dermatology and Cosmetic Sur currently maps to Maitland, Florida in this extract.
Does Advanced Dermatology and Cosmetic Sur accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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