Orlando Dermatology Clinic, LLC
Orlando Dermatology Clinic, LLC provides Dermatology Physician services in Orange City, Florida. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2548 S Volusia AveOrange City, FL 32763-9124
Phone: (352) 218-3211
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1043900947 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tarek Shaath — Owner · (352) 218-3211 |
| NPI enumerated | May 12, 2023 |
| Last updated in NPPES | November 24, 2023 |
| Certification date | November 24, 2023 |
| Mailing address | 1040 Lake Sumter Lndg, The Villages, FL 32162-2697 |
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Mrs. Crystal Burks, APRN
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Dr. Jordan Fabrikant, DO
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Neil Sandhu PA
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Neil Sandhu, MD
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