Boutique Dermatology LLC
NPI 1336971449 · Dermatology Physician · Winter Park, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boutique Dermatology LLC is a Dermatology Physician organization in Winter Park, FL (NPI 1336971449).
Provider details
- NPI number
- 1336971449
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shelley Fox, Authorized Official(321) 439-9505
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-08-16
- Last updated
- 2024-08-16
- Certified
- 2024-08-16
Frequently asked questions
- What is Boutique Dermatology LLC's NPI number?
- Boutique Dermatology LLC's National Provider Identifier (NPI) is 1336971449, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boutique Dermatology LLC?
- Boutique Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Boutique Dermatology LLC located?
- Boutique Dermatology LLC's practice location on file with NPPES is 1400 S Orlando Ave Ste 101, Winter Park, FL 32789-5543.
- What is Boutique Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Boutique Dermatology LLC is (407) 305-9195.
- Does Boutique Dermatology LLC accept Medicare?
- Boutique Dermatology LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Boutique Dermatology LLC?
- The authorized official listed on Boutique Dermatology LLC's NPPES record is Shelley Fox, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boutique Dermatology LLC's NPI active?
- Yes — Boutique Dermatology LLC's NPI (1336971449) is active in the NPPES registry as of the last update on 2024-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.