ADVANCED DERMATOLOGY AND COSMETIC SURGERY – Plastic Surgery Physician, NPI 1619287844

ADVANCED DERMATOLOGY AND COSMETIC SURGERY is a healthcare provider. based in Melbourne, Florida. specializing in Plastic Surgery Physician. The NPI Number for ADVANCED DERMATOLOGY AND COSMETIC SURGERY is 1619287844

Main info

Organization
Name
ADVANCED DERMATOLOGY AND COSMETIC SURGERY
NPI
1619287844
Phone
(321) 951-2639
Address
1513 S HARBOR CITY BLVD
Authorized Official
NEFRITA LOGAN REP PROVIDER SERVICE
Enumeration Date
21 October 2010
Last Update Date
2 October 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness80
Years active:15State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for ADVANCED DERMATOLOGY AND COSMETIC SURGERY

  • 1513 S HARBOR CITY BLVD

    MELBOURNE, FL 329014681

    Phone: (321) 951-2639

    Fax: (866) 948-8094

    Type: Location

  • 151 SOUTHHALL LN

    SUITE 300

    MAITLAND, FL 327517176

    Phone: (407) 875-2080

    Fax: (407) 875-0518

    Type: Mailing

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 32901)

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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 1619287844.
Is ADVANCED DERMATOLOGY AND COSMETIC SURGERY shown as active in public data?
Registry records indicate ADVANCED DERMATOLOGY AND COSMETIC SURGERY maintains an active NPI.
What clinical focus is listed for ADVANCED DERMATOLOGY AND COSMETIC SURGERY?
At a glance, ADVANCED DERMATOLOGY AND COSMETIC SURGERY is tied to Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is ADVANCED DERMATOLOGY AND COSMETIC SURGERY located near Melbourne?
ADVANCED DERMATOLOGY AND COSMETIC SURGERY currently maps to Melbourne, Florida in this extract.
When was this NPI issued?
Enumeration for ADVANCED DERMATOLOGY AND COSMETIC SURGERY is noted as October 21, 2010 where the registry provides it.

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