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: August 09, 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

Other Providers at the Same Location NPPES

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

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

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 Dermatology Clinic LLC's NPI number?

The NPI number for Orlando Dermatology Clinic LLC is 1609467109. It was assigned to this organization in the NPPES registry on January 28, 2021.

Where is Orlando Dermatology Clinic LLC located?

Orlando Dermatology Clinic LLC is located at 2970 Loopdale Ln, Kissimmee, FL 34741. The listed phone number is (352) 218-3211.

What is Orlando Dermatology Clinic LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Orlando Dermatology Clinic LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Orlando Dermatology Clinic LLC 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 Orlando Dermatology Clinic LLC was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.