ORLANDO SKIN INSTITUTE, LLC
NPI 1215319793
Dermatology - Procedural Dermatology in Debary, FL

Active since June 22, 2015
110 POND CT, STE 301, DEBARY, FL 32713(386) 742-0419(386) 742-4119 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Orlando Skin Institute, Llc NPPES

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

ORLANDO SKIN INSTITUTE, LLC (NPI 1215319793) is a healthcare organization registered as a procedural dermatology in Debary, Florida and active in the NPI registry since June 2015. The organization lists Gary Waterman, Owner, as its authorized official.

NPPES Registry Identity

NPI1215319793
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameORLANDO SKIN INSTITUTE, LLC
Location Address110 POND CT, STE 301Debary, FL 32713
Mailing Address110 Pond Ct, Ste 301Debary, FL 32713 · (386) 742-0419 · Fax (386) 742-4119
Fax(386) 742-4119
Organization SubpartNo
Authorized OfficialGary WatermanOwner · (386) 742-0419
Enumeration DateJune 22, 2015
NPI 1215319793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License Licensed in FL · OS4781
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
110 POND CT, Debary, FL 32713

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
110 POND CT, STE 101
DEBARY, FL 32713
General Practice
110 POND CT, STE 301 AND 302
DEBARY, FL 32713
Podiatrist
110 POND CT, SUITE 102
DEBARY, FL 32713

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 Orlando Skin Institute, LLC's NPI number?

The NPI number for Orlando Skin Institute, LLC is 1215319793. It was assigned to this organization in the NPPES registry on June 22, 2015.

Where is Orlando Skin Institute, LLC located?

Orlando Skin Institute, LLC is located at 110 Pond Ct Ste 301, Debary, FL 32713. The listed phone number is (386) 742-0419.

What is Orlando Skin Institute, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Orlando Skin Institute, LLC was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.