Orlando Dermatology Clinic, LLC
NPI #1891257655 in The Villages, Florida
Provider Information
- NPI Number
- 1891257655
- Entity Type
- Organization
- Organization Name
- Orlando Dermatology Clinic, LLC
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Apr 2, 2019
- Last Updated
- May 21, 2020
Practice Location
- Address
- 1040 LAKE SUMTER LNDG
- City
- The Villages
- State
- Florida
- ZIP Code
- 32162-2697
- Phone
- (352) 218-3211
Authorized Official
- Name
- DR. TAREK SAMIR SHAATH, MD
- Title
- DERMATOLOGIST, LLC PRESIDENT
- Phone
- (785) 760-6740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
| Dermatology - Dermatopathology — Dermatopathology |
| Dermatology - Pediatric Dermatology — Pediatric Dermatology |
| Dermatology - Procedural Dermatology — Procedural Dermatology |
| Non-Pharmacy Dispensing Site |
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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