Advanced Dermatology of Maryland PC
Advanced Dermatology of Maryland PC is a Dermatology Physician in LA Plata, Maryland. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
101 Centennial St Ste HLA Plata, MD 20646-5976
Phone: (301) 292-6010
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X |
Record details
| NPI number | 1477388197 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Advanced Dermatology of Maryland PC |
| Authorized official | Matt Leavitt — Owner · (407) 875-2080 |
| NPI enumerated | September 3, 2024 |
| Last updated in NPPES | September 3, 2024 |
| Certification date | September 3, 2024 |
| Mailing address | 151 Southhall Ln Ste 300, Maitland, FL 32751-7172 |