Organization Active NPI

Skin Dermatology and Cosmetic Services, P.a.

  • Dermatology Physician
  • Windermere, FL
National Provider Identifier
1427841865
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKIN DERMATOLOGY AND COSMETIC SERVICES, P.A.
Practice address
13798 Speer Island Dr
Windermere, FL 34786-7380
Phone
(386) 256-1969
Fax
(386) 960-7863
NPI assigned
May 28, 2025
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Shawna Frame
Title
Billing Manager
Phone
(423) 525-5993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

13798 Speer Island Dr
Windermere, FL 34786-7380

Mailing address

865 Saxon Blvd
Orange City, FL 32763-8204
Phone (386) 256-1969

National Provider Directory

National Provider Directory
Tax ID family
Skin Dermatology and Cosmetic Services PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1427841865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 SAXON BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638204",
            "telephone_number": "386-256-1969",
            "fax_number": "386-960-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13798 SPEER ISLAND DR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867380",
            "telephone_number": "386-256-1969",
            "fax_number": "386-960-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN DERMATOLOGY AND COSMETIC SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "FRAME",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "423-525-5993"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.