Advanced Dermatology and Cosmetic Surgery – Dermatology Physician, NPI 1992095681

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 1992095681

Main info

Organization
Name
Advanced Dermatology and Cosmetic Surgery
NPI
1992095681
Phone
(407) 875-2080
Address
2600 LAKE LUCIEN DR
Authorized Official
NEFRITA LOGAN PROVIDER SERVICE REP
Enumeration Date
14 April 2011
Last Update Date
14 April 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:15State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Advanced Dermatology and Cosmetic Surgery

  • 2600 LAKE LUCIEN DR

    SUITE 180

    MAITLAND, FL 327517233

    Phone: (407) 875-2080

    Fax: (407) 875-0518

    Type: Mailing

  • 3427 MARINER BLVD

    SPRING HILL, FL 346092463

    Phone: (888) 540-9660

    Fax: (407) 875-0518

    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

What identifier follows Advanced Dermatology and Cosmetic Surgery across health systems?
The NPI 1992095681 uniquely identifies Advanced Dermatology and Cosmetic Surgery in U.S. healthcare data.
Is Advanced Dermatology and Cosmetic Surgery's NPI status active today?
Active status means Advanced Dermatology and Cosmetic Surgery's NPI record is not deactivated in the public file.
Which specialty label fits Advanced Dermatology and Cosmetic Surgery?
NPPES ties Advanced Dermatology and Cosmetic Surgery to Dermatology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Advanced Dermatology and Cosmetic Surgery?
Advanced Dermatology and Cosmetic Surgery shows a connection to Maitland, Florida in registry-derived data.
Who maintains Advanced Dermatology and Cosmetic Surgery's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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