Advanced Dermatology – Dermatology Physician, NPI 1629236104
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Advanced Dermatology
2600, Lake Lucien Drive, Maitland, Orange County, Florida, 32751, United States
SUITE 180
MAITLAND, FL 327517233
Phone: (407) 875-2080
Fax: (407) 875-0518
Type: Mailing
3000, SW 148th Ave, Miramar, Broward County, Florida, 33027, United States
SUTIE 250
MIRAMAR, FL 330274169
Phone: (954) 885-5551
Fax: (954) 885-5559
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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