Advanced Dermatology and Cosmetic Surgery – Dermatology Physician, NPI 1891953386

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 1891953386

Main info

Organization
Name
Advanced Dermatology and Cosmetic Surgery
NPI
1891953386
Phone
(407) 875-2080
Address
2600 LAKE LUCIEN DR STE 180
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

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

    MAITLAND, FL 327517235

    Phone: (407) 875-2080

    Fax: (407) 875-0518

    Type: Mailing

  • 44, Granada Boulevard, Ormond Beach, Volusia County, Florida, 32176, United States

    ORMOND BEACH, FL 321749406

    Phone: (386) 898-0547

    Fax: (386) 898-0551

    Type: Location

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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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 32751)

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Frequently asked questions

What federal number belongs to Advanced Dermatology and Cosmetic Surgery?
The federal identifier for Advanced Dermatology and Cosmetic Surgery is NPI 1891953386.
Is Advanced Dermatology and Cosmetic Surgery's NPI currently valid?
The extract we use shows Advanced Dermatology and Cosmetic Surgery as active.
What does Advanced Dermatology and Cosmetic Surgery treat or focus on?
Patients typically see Advanced Dermatology and Cosmetic Surgery under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does Advanced Dermatology and Cosmetic Surgery practice in Florida?
You will see Maitland, Florida on file for Advanced Dermatology and Cosmetic Surgery alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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