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Contact Information

ORLANDO DERMATOLOGY CLINIC LLC
2970 LOOPDALE LN
KISSIMMEE, FL34741-7658
 Phone: 352-218-3211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ORLANDO DERMATOLOGY CLINIC LLC · (Female)

NPI # 1609467109
Status Active
Credentials
Entity Individual
Enumeration date 01/28/2021
Last updated 11/03/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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