SKIN DERMATOLOGY AND COSMETIC SERVICES, P.A.
NPI 1205270824
Specialist in Orange City, FL

Q: What is Skin Dermatology And Cosmetic Services, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 25, 2013

865 SAXON BLVD, ORANGE CITY, FL 32763(386) 256-1969(407) 599-7506 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Skin Dermatology And Cosmetic Services, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKIN DERMATOLOGY AND COSMETIC SERVICES, P.A. (NPI 1205270824) is a healthcare organization registered as a specialist in Orange City, Florida and active in the NPI registry since April 2013. The organization maintains 2 additional practice locations and lists Ross Charles Wheeler, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1205270824

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSKIN DERMATOLOGY AND COSMETIC SERVICES, P.A.

Location Address865 SAXON BLVDOrange City, FL 32763-8204

Mailing Address865 Saxon BlvdOrange City, FL 32763-8204 · (386) 256-1969 · Fax (407) 599-7506

Phone(386) 256-1969

Fax(407) 599-7506

Organization SubpartNo

Authorized OfficialRoss Charles WheelerMedical Director · (407) 599-7546

Enumeration DateApril 25, 2013

Last NPPES UpdateMarch 22, 2021

NPPES CertifiedMarch 22, 2021

✔ NPI 1205270824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME73845

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

865 SAXON BLVD, Orange City, FL 32763

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Secondary Practice Locations 2

Location 14106 W Lake Mary Blvd Ste 325Lake Mary, FL 32746-3383 · Phone (386) 256-1969 · Fax (386) 960-7863

Location 284 Pinnacles Dr Ste 400Palm Coast, FL 32164-2324 · Phone (386) 256-1969 · Fax (386) 960-7863

Other Identifiers 1

Medicaid2608936FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skin Dermatology And Cosmetic Services, P.A.'s NPI number?

The NPI number for Skin Dermatology And Cosmetic Services, P.A. is 1205270824. It was assigned to this organization in the NPPES registry on April 25, 2013.

Where is Skin Dermatology And Cosmetic Services, P.A. located?

Skin Dermatology And Cosmetic Services, P.A. is located at 865 Saxon Blvd, Orange City, FL 32763. The listed phone number is (386) 256-1969.

What is Skin Dermatology And Cosmetic Services, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Skin Dermatology And Cosmetic Services, P.A. accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Skin Dermatology And Cosmetic Services, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Skin Dermatology And Cosmetic Services, P.A. was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.