Advanced Dermatology and Cosmetic Surgery – Dermatology Physician, NPI 1710145289

Advanced Dermatology and Cosmetic Surgery is a healthcare provider. based in Kissimmee, Florida. specializing in Dermatology Physician. The NPI Number for Advanced Dermatology and Cosmetic Surgery is 1710145289

Main info

Organization
Name
Advanced Dermatology and Cosmetic Surgery
NPI
1710145289
Phone
(407) 705-5100
Address
903 N CENTRAL AVE
Authorized Official
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

  • 903, North Central Avenue, Kissimmee, Osceola County, Florida, 34741, United States

    KISSIMMEE, FL 347415029

    Phone: (407) 705-5100

    Fax: (407) 705-5104

    Type: Location

  • Lake Lucien Drive, Maitland, Orange County, Florida, 32810, United States

    MAITLAND, FL 327517235

    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)

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 34741)

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Reviews

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Frequently asked questions

Where can patients find Advanced Dermatology and Cosmetic Surgery's NPI?
You can confirm Advanced Dermatology and Cosmetic Surgery with NPI 1710145289; it appears in the national provider directory.
Is Advanced Dermatology and Cosmetic Surgery's NPI currently valid?
The extract we use shows Advanced Dermatology and Cosmetic Surgery as active.
What kind of provider is Advanced Dermatology and Cosmetic Surgery?
The page reflects Dermatology Physician for Advanced Dermatology and Cosmetic Surgery. Clinical services aligned with this taxonomy classification.
Where is Advanced Dermatology and Cosmetic Surgery's primary listing?
We display Kissimmee, Florida because that is what the record indicates for Advanced Dermatology and Cosmetic Surgery.
Is Advanced Dermatology and Cosmetic Surgery a real provider?
This page reflects official NPPES data for NPI 1710145289. Always confirm identity and privileges with the practice and licensing boards.

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