Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dermatology and Skin Surgery Center, PA

Organization Dermatology Physician · NPI 1477640902

Dermatology and Skin Surgery Center, PA provides Dermatology Physician services in Celebration, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

410 Celebration Pl Ste 301
Celebration, FL 34747-5433
Phone: (407) 566-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME0058612 (FL)

Record details

NPI number1477640902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dean Goodless — President · (407) 566-1616
NPI enumeratedOctober 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address410 Celebration Pl, Suite 301, Celebration, FL 34747-5433

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