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 1891257655

Orlando Dermatology Clinic, LLC is a Dermatology Physician in The Villages, Florida. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
6
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

1040 Lake Sumter Lndg
The Villages, FL 32162-2697
Phone: (352) 218-3211
Fax: (877) 699-3709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X
Dermatology Physician Taxonomy 207N00000X
Dermatopathology Physician Taxonomy 207ND0900X
Pediatric Dermatology Physician Taxonomy 207NP0225X
Procedural Dermatology Physician Taxonomy 207NS0135X
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1891257655
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tarek Shaath — Dermatologist, Llc President · (785) 760-6740
Other names Care Dermatology And Skin Cancer Centers
NPI enumeratedApril 2, 2019
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020
Mailing address697 Oak Hollow Way, Altamonte Springs, FL 32714-1838

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