National Provider Identifier Database

ORLANDO DERMATOLOGY CLINIC LLC
Dermatology

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.


Contact Information

ORLANDO DERMATOLOGY CLINIC, LLC
3261 US HIGHWAY 441/27 STE F1
FRUITLAND PARK, FL34731-4495
Phone: 352-218-3211
Fax:
Website:
Specialty Taxonomy Code
* Dermatology 207N00000X
MOHS-Micrographic Surgery 207ND0101X
Non-Pharmacy Dispensing Site 332900000X
Procedural Dermatology 207NS0135X

* Indicates primary specialty

NPI Profile & details for ORLANDO DERMATOLOGY CLINIC, LLC

NPI Number 1427670595
Legal business name
LBN
ORLANDO DERMATOLOGY CLINIC, LLC
Authorized official TAREK SHAATH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/12/2020
Last updated 07/14/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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