Betsy Cooduvalli, DO
NPI 1437410230 · Dermatology Physician · Titusville, FL
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1437410230
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- OS10726 (FL)
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
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Additional practice locations (3)
- 106 Boston Ave Ste 100Altamonte Springs, FL 32701-4712Phone: (407) 846-7546Fax: (321) 206-5419
- 2910 Brownwood BlvdThe Villages, FL 32163Phone: (352) 674-8700
- 2910 Brownwood BlvdThe Villages, FL 32163Phone: (352) 674-8700
Registry dates
- Enumerated
- 2012-06-07
- Last updated
- 2019-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.