Organization · Type 2 NPI

Comprehensive Dermatology and Dermatologic Surgery, PLC

Dermatology Physician · Winter Park, FL

NPI number 1487093316 Active

Practice location

201 N Lakemont Ave, Suite 100
Winter Park, FL 32792-3228

Specialties and licenses

Taxonomy	Code	License
Dermatology Physician Primary	207N00000X	ME105564 (FL)
MOHS-Micrographic Surgery Physician	207ND0101X	ME105564 (FL)
Procedural Dermatology Physician	207NS0135X	ME105564 (FL)
Facial Plastic Surgery Physician	207YS0123X	ME105587 (FL)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician	207YX0007X	ME105587 (FL)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	2082S0099X	ME105587 (FL)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1487093316

Comprehensive Dermatology and Dermatologic Surgery, PLC's National Provider Identifier is 1487093316, issued on Jun 25, 2013. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Winter Park, FL. The record was last updated on Jun 25, 2013.