Pure Skin Dermatology and Aesthetics, LLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

ME98190 Issued in FL

Legal business name

PURE SKIN DERMATOLOGY AND AESTHETICS, LLC

Practice address

7932 W Sand Lake Rd
Suite 206
Orlando, FL 32819-7263

Phone

(407) 900-2580

NPI assigned

May 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Debra L Grayman, M.D.NPI 1962411462

Title

MGRM

Phone

(407) 900-2580

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra Laing Grayman, M.D.

  • Dermatology Physician
  • Orlando, FL
  • NPI 1962411462
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1598025447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7932 W SAND LAKE RD",
            "address_2": "SUITE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197263",
            "telephone_number": "407-900-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7932 W SAND LAKE RD",
            "address_2": "SUITE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197263",
            "telephone_number": "407-900-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE SKIN DERMATOLOGY AND AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "GRAYMAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "407-900-2580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME98190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1598025447",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pure Care Assisted Living LLC
• Pure Care Services, LLC
• Pure Care Transportation, LLC
• Pure Health Medical, LLC
• Pure Renewal Regenerative Concierge Medicine LLC
• Pure Smiles, PA
• Pure U LLC
• Danielle Simoneaux Purin, APRN, FNP-C
• William W. Purkey, MD
• Richa Purohit

• Procedural Dermatology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.