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

Orlando Dermatology Clinic LLC

Organization Dermatology Physician · NPI 1669251112

Orlando Dermatology Clinic LLC provides Dermatology Physician services in Altamonte Springs, 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.

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Practice location Address checks out

118 W Orange St
Altamonte Springs, FL 32714-2537
Phone: (352) 218-3211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1669251112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tarek Shaath — Md · (352) 218-3211
NPI enumeratedSeptember 25, 2023
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024
Mailing address1040 Lake Sumter Lndg, The Villages, FL 32162-2697

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