Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dermatology and Skin Surgery Center, PA

Organization Dermatology Physician · NPI 1477640902

Dermatology and Skin Surgery Center, PA is a Dermatology Physician in Celebration, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

410 Celebration Pl Ste 301
Celebration, FL 34747-5433
Phone: (407) 566-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME0058612 (FL)

Record details

NPI number1477640902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dean Goodless — President · (407) 566-1616
NPI enumeratedOctober 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address410 Celebration Pl, Suite 301, Celebration, FL 34747-5433

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