Advanced Dermatolgy and Cosmetic Surgery – Dermatology Physician, NPI 1942468434

Advanced Dermatolgy and Cosmetic Surgery is a healthcare provider. based in Maitland, Florida. specializing in Dermatology Physician. The NPI Number for Advanced Dermatolgy and Cosmetic Surgery is 1942468434

Main info

Organization
Name
Advanced Dermatolgy and Cosmetic Surgery
NPI
1942468434
Phone
(407) 875-2080
Address
2600 LAKE LUCIEN DR STE 180
Authorized Official
NEFRITA LOGAN PROVIDER SERVICES
Enumeration Date
30 May 2008
Last Update Date
16 November 2011
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 Dermatolgy 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

  • 2893, Enterprise Road, DeBary, Orange City, Volusia County, Florida, 32713, United States

    SUITE 100

    DEBARY, FL 327132784

    Phone: (386) 789-8600

    Fax: (386) 789-0219

    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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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 32751)

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Reviews

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Frequently asked questions

Is Advanced Dermatolgy and Cosmetic Surgery listed with a National Provider Identifier?
Yes — Advanced Dermatolgy and Cosmetic Surgery has NPI 1942468434 on file in the registry.
Is Advanced Dermatolgy and Cosmetic Surgery shown as active in public data?
Registry records indicate Advanced Dermatolgy and Cosmetic Surgery maintains an active NPI.
What expertise is attributed to Advanced Dermatolgy and Cosmetic Surgery?
Advanced Dermatolgy and Cosmetic Surgery's specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Advanced Dermatolgy and Cosmetic Surgery?
Directory geography for Advanced Dermatolgy and Cosmetic Surgery centers on Maitland, Florida.
Does Advanced Dermatolgy and Cosmetic Surgery accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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