PURE SKIN DERMATOLOGY AND AESTHETICS, LLC (NPI# 1598025447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598025447 |
| Entity Type | Organization |
| Organization Name | PURE SKIN DERMATOLOGY AND AESTHETICS, LLC |
| Practice Address |
7932 W Sand Lake Rd Suite 206 Orlando FL 32819-7263 |
| Practice Telephone | 4079002580 |
| Mailing Telephone | 4079002580 |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | DR. DEBRA L GRAYMAN (MGRM) |
| Authorized Official Telephone | 4079002580 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
ME98190 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | GROUP NPI | 1598025447 | 01 |
| Street Address |
7932 W SAND LAKE RD SUITE 206 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32819-7263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962492413 | Mario J Monteleone | Physician Assistant | 7932 W Sand Lake Rd, Suite 202, Orlando, FL 32819-7263 | 2005-10-26 |
| 1639423080 | Dentist On Call, LLC | Dentist | 7932 W Sand Lake Rd, Suite #301, Orlando, FL 32819-7263 | 2012-11-07 |
| 1952671588 | Stride Physical Therapy and Rehabilitation | Physical Therapist | 7932 W Sand Lake Rd, Suite 203, Orlando, FL 32819-7263 | 2012-01-12 |
| 1164752713 | Sarah Jane Fellenz Silveira | Nurse Practitioner | 7932 W Sand Lake Rd, 202, Orlando, FL 32819-7263 | 2010-01-04 |
| 1659505675 | Olga Saprygina Forman | Physician Assistant | 7932 W Sand Lake Rd, Suite 202, Orlando, FL 32819-7263 | 2009-05-05 |
| 1306011564 | The Murray Center for Veins Aesthetics Antiaging Inc | General Practice | 7932 W Sand Lake Rd, Suite 306, Orlando, FL 32819-7263 | 2008-04-28 |
| 1467571166 | Ziyad Maali | Dentist | 7932 W Sand Lake Rd, Suite #301, Orlando, FL 32819-7263 | 2007-03-27 |
| 1013072131 | Matthew N Contino | Physical Therapist | 7932 W Sand Lake Rd, 203, Orlando, FL 32819-7263 | 2006-12-27 |
| 1366549768 | John R Ligeon | Internal Medicine | 7932 W Sand Lake Rd, Suite 100, Orlando, FL 32819-7263 | 2006-09-20 |
| 1962411462 | Debra Laing Grayman | Dermatology | 7932 W Sand Lake Rd, Suite 206, Orlando, FL 32819-7263 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1437704756 | Byron Martin Randolph | Physical Therapist | 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 | 2019-08-04 |
| 1225536303 | Alliance Dme LLC | Durable Medical Equipment & Medical Supplies | 7031 Grand National Dr Ste 106b, Orlando, FL 32819 | 2018-01-24 |
| 1417465584 | Marckenson Gerson Janvier | Nurse Practitioner | 9401 Turkey Lake Rd, Orlando, FL 32819 | 2018-01-11 |
| 1871003442 | Sabeen Hasni | Pharmacist | 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 | 2017-10-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1215483565 | Krista Richardson | Physical Therapist | 9102 Universal Blvd., Orlando, FL 32819 | 2016-08-28 |
| 1841646536 | Kiara Serrano | Social Worker | 7509 Pinemount Dr, Orlando, FL 32819 | 2016-05-11 |
| 1659749752 | Angels for Kids On-call | Case Management | 7550 Future Drive Suite 105, Orlando, FL 32819 | 2015-09-04 |
| 1932589462 | Krista Jean Cain | Counselor | 7758 Wallace Rd Ste Vi, Orlando, FL 32819 | 2015-05-29 |
| Find all providers in zip 32819 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407981400 | Paula Lin Md LLC | Dermatology | 2800 S Osceola Ave, Orlando, FL 32806-5419 | 2007-02-22 |
| 1386830263 | J Matthew Knight M D P A | Dermatology | 801 N Orange Ave, Suite 520, Orlando, FL 32801-1026 | 2007-09-24 |
| 1730150509 | Hugo Vincent Hart | Dermatology | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2006-01-30 |
| 1194727586 | James Matthew Knight | Dermatology | 801 N Orange Ave, Suite 520, Orlando, FL 32801-1026 | 2005-08-15 |
| 1770585754 | Ronald Charles Knipe | Dermatology | 70 W Gore St, Suite 200a, Orlando, FL 32806-1124 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579002 | Alicia Nunez | Dermatology | 1000 W Broadway St Ste 206, Oviedo, FL 32765-9262 | 2019-07-01 |
| 1477114197 | Leslie Z Rohaidy | Dermatology | 55 Se 6th St Apt 3101, Miami, FL 33131-2570 | 2019-06-24 |
| 1376029579 | Gulfshore Dermatology At Coralwood, Pa | Dermatology | 326 Del Prado Blvd N Ste 301, Cape Coral, FL 33909-2288 | 2018-07-11 |
| 1033639786 | Beautysmart Dermatology Clinic and Medical Spa LLC | Dermatology | 94 S Federal Hwy, Boca Raton, FL 33432-4825 | 2017-06-23 |
| 1215319793 | Orlando Skin Institute, LLC | Dermatology | 110 Pond Ct, Ste 301, Debary, FL 32713 | 2015-06-22 |
| 1336584960 | Devorah R Shagalov | Dermatology | 3850 Hollywood Blvd Ste 403, Hollywood, FL 33021-6746 | 2013-05-09 |
| 1871834606 | Geoffrey Michael Siegel | Dermatology | 478 Alamanda Dr, Hallandale Beach, FL 33009-6508 | 2013-03-04 |
| 1174852560 | Nautilus Health Care Group, LLC | Dermatology | 5220 Belfort Rd S, Ste 130, Jacksonville, FL 32256 | 2009-12-14 |
| 1447494885 | Matteo Taerri | Dermatology | 510 Howard Ct, Sarasota, FL 34236-5050 | 2009-04-29 |
| 1336319045 | Miloslava Mician Md Pa | Dermatology | 3619 W Waters Ave, Tampa, FL 33614-2783 | 2008-03-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PURE SKIN DERMATOLOGY AND AESTHETICS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.