OrganizationActive
Sun State Dermatology, LLC
NPI 1093496432 · Dermatology Physician · Maitland, FL
Provider details
- NPI number
- 1093496432
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nathoo Rajiv, Practice Owner(407) 636-3113
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
430 Lake Howell Rd
Maitland, FL 32751-5907
Phone: (407) 636-3113
Fax: (407) 636-3133
Street-level locationGet directions
Mailing address
430 Lake Howell Rd
Maitland, FL 32751-5907
Registry dates
- Enumerated
- 2023-07-28
- Last updated
- 2024-01-06
- Certified
- 2024-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.