ADVANCED DERMATOLOGY AND COSMETIC SURGERY
NPI 1275791758
Dermatology in Tavares, FL
About Advanced Dermatology And Cosmetic Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED DERMATOLOGY AND COSMETIC SURGERY (NPI 1275791758) is a healthcare organization registered as a dermatology in Tavares, Florida and active in the NPI registry since May 2008. The organization holds an CLIA Accreditation certificate valid through November 10, 2026 and lists Amy Declue, Director, Provider Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
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 and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D1078031
- Facility Type
- Physician Office
- Certificate Effective Date
- November 11, 2024
- Certificate Expiration Date
- November 10, 2026
- Laboratory Director
- ADAM R. LEAVITT
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Advanced Dermatology And Cosmetic Surgery on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275791758, enumerated as an "organization" on May 30, 2008.
The provider is located at 1816 SALK AVE TAVARES, FL 32778 and the phone number is (352) 343-2461.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.
