NPI 1225101231 · live from the CMS NPI Registry
Aesthetic Dermatology PA
Dermatology in Clermont, FL. National Provider Identifier 1225101231, active.
NPI record
| NPI | 1225101231 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 210 N Highway 27 Ste 1, Clermont, FL 34711 |
| Practice phone | 352-243-2544 |
| Mailing address | 210 North Highway 27, Suite 1, Clermont, FL 34711 |
| Enumerated | November 16, 2006 |
| Last updated | January 14, 2025 |
| Authorized official | David Allyn, Medical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | ME70658 (FL) |
| Dermatology primary | 207N00000X | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — |
| Dermatology, Procedural Dermatology | 207NS0135X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.