Organization · Type 2 NPI

The Institute of Dermatology and Mohs Surgery, PLLC

Dermatology Physician · Longwood, FL

NPI number 1508761222 Active

Practice location

2650 W State Road 434
Longwood, FL 32779-4815

Fax (407) 475-3367

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed
MOHS-Micrographic Surgery Physician 207ND0101XNone listed

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…

2 other providers at this address

About NPI 1508761222

The Institute of Dermatology and Mohs Surgery, PLLC's National Provider Identifier is 1508761222, issued on Oct 12, 2026. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Longwood, FL. The record was last updated on Oct 13, 2026.