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

Orlando Dermatology Clinic, LLC

Organization Dermatology Physician · NPI 1427670595

Orlando Dermatology Clinic, LLC is a Dermatology Physician in Fruitland Park, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3261 US Highway 441/27 Ste F1
Fruitland Park, FL 34731-4495
Phone: (352) 218-3211
Show map & directions

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
Procedural Dermatology Physician Taxonomy 207NS0135X
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1427670595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tarek Shaath — Owner · (785) 760-6740
Other names Care Dermatology And Skin Cancer Centers; Care Dermatology And Skin Cancer Centers
NPI enumeratedMay 12, 2020
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021
Mailing address1040 Lake Sumter Lndg, The Villages, FL 32162-2697