Madison Lynne Vasmout, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PA9112712 Issued in FL

Practice address

4750 The Grove Dr Ste 280
Windermere, FL 34786-8427

Phone

(407) 704-7546

NPI assigned

Jan 12, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Skin Cancer CenterGroup PAC ID 0749452134, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology and Skin Cancer Center

  • Specialist
  • Orlando, FL
  • NPI 1891001293
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1093355653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 THE GROVE DR STE 280",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868427",
            "telephone_number": "407-538-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 THE GROVE DR STE 280",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868427",
            "telephone_number": "407-704-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASMOUT",
        "first_name": "MADISON",
        "middle_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-12",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PA9112712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Christine Uronu
• Carmen Elena Urrea
• Susan Mary Valero, M.S.ED., P.D.,
• Andrea Alejandra Valladarez
• Lina Maria Vargas Abello, M.D.
• Amelia Vasquez
• Vivo ABA, LLC
• VMD Primary Providers Central Florida PLLC
• Clarice Vollandt, CCC-SLP
• Walgreen Co

• Dermatology Physician in Windermere, FL
• Providers in Windermere, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.