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

Orlando Dermatology Clinic LLC

Organization Dermatology Physician · NPI 1821699232

Orlando Dermatology Clinic LLC is a Dermatology Physician in Fullerton, California. 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.

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Practice location Address checks out

1950 Sunny Crest Dr Ste 1600
Fullerton, CA 92835-3642
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
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Procedural Dermatology Physician Taxonomy 207NS0135X
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1821699232
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tarek Shaath — Owner · (785) 760-6740
Other names Care Dermatology And Skin Cancer Centers
NPI enumeratedNovember 3, 2020
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022
Mailing address1040 Lake Sumter Lndg, The Villages, FL 32162-2697

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