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NPI Profile for ORLANDO DERMATOLOGY CLINIC LLC in THE VILLAGES, FL.
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
MOHS-Micrographic Surgery |
207ND0101X | 07 | Physician/Dermatology | |
Dermatology |
207N00000X | 07 | Physician/Dermatology | |
Dermatopathology |
207ND0900X | 07 | Physician/Dermatology | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers | |
Pediatric Dermatology |
207NP0225X | 07 | Physician/Dermatology | |
Procedural Dermatology |
207NS0135X | 07 | Physician/Dermatology |
| NPI Number | 1891257655 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/02/2019 | |
| Last updated | 05/21/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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| VILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC 1950 LAUREL MANOR DR THE VILLAGES, FL |
| THI T TRAN, DO 1950 LAUREL MANOR DR THE VILLAGES, FL |
| JOHN COTTAM MD PA 741 COUNTY RD 466 LADY LAKE, FL |
| CENTRAL FLORIDA PREMIER EYE ASSOCIATES 8101 CR 466 LADY LAKE, FL |
| SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 10973 SE 175TH PL STE 100 SUMMERFIELD, FL |
| CHARLES F KNAPP III, MD 2783 BROWNWOOD BLVD THE VILLAGES, FL |
| BRANDON M MARKUS, DO 2783 BROWNWOOD BLVD THE VILLAGES, FL |
| THE ORTHOPAEDIC INSTITUTE PA 1710 SE 16TH AVE OCALA, FL |
| JUAN C BUSTILLO, MD 3301 SW 34TH CIRCLE SUITE 101 OCALA, FL |
| JUDY CHENG, MD 3233 SW 33RD ROAD OCALA, FL |
ORLANDO DERMATOLOGY CLINIC, LLC