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

Orlando Skin Institute, LLC

Organization Procedural Dermatology Physician · NPI 1215319793

Orlando Skin Institute, LLC is a Procedural Dermatology Physician in Debary, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
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

110 Pond Ct Ste 301
Debary, FL 32713
Phone: (386) 742-0419
Fax: (386) 742-4119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence OS4781 (FL)

Record details

NPI number1215319793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Waterman — Owner · (386) 742-0419
NPI enumeratedJune 22, 2015
Last updated in NPPESJune 22, 2015
Mailing address110 Pond Ct, Ste 301, Debary, FL 32713