Advanced Dermatology and Cosmetic Surgery – Dermatology Physician, NPI 1962660431

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 1962660431

Main info

Organization
Name
Advanced Dermatology and Cosmetic Surgery
NPI
1962660431
Phone
(407) 875-2080
Address
2600 LAKE LUCIEN DR
Authorized Official
NEFRITA LOGAN PRO SER REP
Enumeration Date
30 May 2008
Last Update Date
22 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

  • 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

  • 1979, West Hillsboro Boulevard, Deerfield Beach, Broward County, Florida, 33442, United States

    SUITE 2

    DEERFIELD BEACH, FL 334421444

    Phone: (954) 571-4070

    Fax: (954) 571-0470

    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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Frequently asked questions

Can I verify Advanced Dermatology and Cosmetic Surgery with an NPI only?
You can start verification with NPI 1962660431 for Advanced Dermatology and Cosmetic Surgery, then check state licensing separately.
Does the file indicate Advanced Dermatology and Cosmetic Surgery is practicing under active NPI?
Directory data currently reports Advanced Dermatology and Cosmetic Surgery as active.
What is Advanced Dermatology and Cosmetic Surgery's specialty?
The listing groups Advanced Dermatology and Cosmetic Surgery with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What area does Advanced Dermatology and Cosmetic Surgery serve?
Advanced Dermatology and Cosmetic Surgery's listing highlights Maitland, Florida; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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