ORLANDO DERMATOLOGY CLINIC LLC
NPI 1609467109
Dermatology in Kissimmee, FL

Active since January 28, 2021
2970 LOOPDALE LN, KISSIMMEE, FL 34741(352) 218-3211 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 3, 2022, Feb 15, 2021, Jan 28, 2021 (3 updates tracked since 2021).

About Orlando Dermatology Clinic Llc NPPES

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

ORLANDO DERMATOLOGY CLINIC LLC (NPI 1609467109) is a healthcare organization registered as a dermatology in Kissimmee, Florida and active in the NPI registry since January 2021. The organization lists Tarek S Shaath, Owner, as its authorized official.

NPPES Registry Identity

NPI1609467109
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameORLANDO DERMATOLOGY CLINIC LLC
Location Address2970 LOOPDALE LNKissimmee, FL 34741-7658
Mailing Address1040 Lake Sumter LndgThe Villages, FL 32162-2697
Organization SubpartNo
Authorized OfficialTarek S ShaathOwner · (785) 760-6740
Enumeration DateJanuary 28, 2021
Last NPPES UpdateNovember 3, 20223 updates tracked since enumeration
NPPES CertifiedNovember 3, 2022
NPI 1609467109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition

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.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
2970 LOOPDALE LN, Kissimmee, FL 34741

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
2970 LOOPDALE LN
KISSIMMEE, FL 34741

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609467109, enumerated as an "organization" on January 28, 2021.

The provider is located at 2970 LOOPDALE LN KISSIMMEE, FL 34741 and the phone number is (352) 218-3211.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.