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 1669251112

Orlando Dermatology Clinic LLC is a Dermatology Physician in Altamonte Springs, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

118 W Orange St
Altamonte Springs, FL 32714-2537
Phone: (352) 218-3211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1669251112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tarek Shaath — Md · (352) 218-3211
NPI enumeratedSeptember 25, 2023
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024
Mailing address1040 Lake Sumter Lndg, The Villages, FL 32162-2697

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