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

Visage Dermatology and Aesthetic Center, LLC

Organization Dermatology Physician · NPI 1669716395

Visage Dermatology and Aesthetic Center, LLC provides Dermatology Physician services in Largo, Maryland. Licensed in Maryland. Registered with an NPI since 2012.

Licensed in
MD
In the registry since
2012
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

1400 Mercantile Ln Ste 110
Largo, MD 20774-5341 Not confirmed with CMS for 13 years — call before visiting
Phone: (240) 223-3533
Fax: (240) 465-4800
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence D0065513 (MD)

Record details

NPI number1669716395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharleen St. Surin-Lord — Medical Director · (240) 223-3533
NPI enumeratedNovember 19, 2012
Last updated in NPPESDecember 20, 2012
Mailing addressPo Box 7224, Largo, MD 20792-7224

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