ORLANDO DERMATOLOGY CLINIC LLC
NPI 1669251112
Dermatology in Altamonte Springs, FL

Active since September 25, 2023
118 W ORANGE ST, ALTAMONTE SPRINGS, FL 32714(352) 218-3211 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Orlando Dermatology Clinic Llc NPPES

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

ORLANDO DERMATOLOGY CLINIC LLC (NPI 1669251112) is a healthcare organization registered as a dermatology in Altamonte Springs, Florida and active in the NPI registry since September 2023. The organization lists Tarek S Shaath, Md, as its authorized official.

NPPES Registry Identity

NPI1669251112
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameORLANDO DERMATOLOGY CLINIC LLC
Location Address118 W ORANGE STAltamonte Springs, FL 32714-2537
Mailing Address1040 Lake Sumter LndgThe Villages, FL 32162-2697
Organization SubpartNo
Authorized OfficialTarek S ShaathMd · (352) 218-3211
Enumeration DateSeptember 25, 2023
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
NPI 1669251112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
118 W ORANGE ST, Altamonte Springs, FL 32714

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 5

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

Nurse Practitioner (Psychiatric/Mental Health)
118 W ORANGE ST
ALTAMONTE SPRINGS, FL 32714
Nurse Practitioner (Psychiatric/Mental Health)
118 W ORANGE ST
ALTAMONTE SPRINGS, FL 32714
General Practice
118 W ORANGE ST
ALTAMONTE SPRINGS, FL 32714
Nurse Practitioner (Psychiatric/Mental Health)
118 W ORANGE ST
ALTAMONTE SPRINGS, FL 32714
Family Medicine
118 W ORANGE ST
ALTAMONTE SPRINGS, FL 32714

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 1669251112. It was assigned to this organization in the NPPES registry on September 25, 2023.

Where is Orlando Dermatology Clinic LLC located?

Orlando Dermatology Clinic LLC is located at 118 W Orange St, Altamonte Springs, FL 32714. 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.

When was this NPI record last updated?

The NPPES record for Orlando Dermatology Clinic LLC was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.