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

Dr. Jordan Fabrikant, DO

Individual provider Dermatology Physician · NPI 1649585753

Dr. Jordan Fabrikant, DO is a Micrographic Dermatologic Surgery (Mds) in Orange City, Florida. Qualified in 2010, 16 years ago. Practices with Aqua Dermatology of Florida, PA, a 184-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

921 Town Center Dr
Orange City, FL 32763-8311
Phone: (386) 218-1180
Fax: (386) 218-0950
Show map & directions

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

Additional practice locations (2)

  • 7605 Conroy Windermere Rd, Orlando, FL 32835-2646 — (321) 732-8150
  • 340 Town Plaza Ave Ste 210, Ponte Vedra, FL 32081-5169 — (904) 404-8555

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence OS11753 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence OS11753 (FL)

Record details

NPI number1649585753
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 12, 2010
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing address900 Village Square Xing Ste 290, Palm Beach Gardens, FL 33410-4552

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Aqua Dermatology Of Florida, Pa — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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