OrganizationActive
Orlando Skin Institute, LLC
NPI 1215319793 · Procedural Dermatology Physician · Debary, FL
Provider details
- NPI number
- 1215319793
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Waterman, Owner(386) 742-0419
- License
- OS4781 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
110 Pond Ct
Ste 301
Debary, FL 32713
Phone: (386) 742-0419
Fax: (386) 742-4119
Street-level locationGet directions
Mailing address
110 Pond Ct
Debary, FL 32713
Registry dates
- Enumerated
- 2015-06-22
- Last updated
- 2015-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.