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

Orlando Skin Institute, LLC

Organization Procedural Dermatology Physician · NPI 1215319793

Orlando Skin Institute, LLC provides Procedural Dermatology Physician services 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.

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Practice location Address checks out

110 Pond Ct Ste 301
Debary, FL 32713 Not confirmed with CMS for 11 years — call before visiting
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