OrganizationActive
Patient and Derm LLC
NPI 1538879267 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Oviedo, FL
Provider details
- NPI number
- 1538879267
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mikhail Vaysberg, Owner(610) 529-0666
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
7250 Red Bug Lake Rd Ste 1020
Oviedo, FL 32765-9290
Phone: (407) 706-1770
Fax: (407) 706-1777
Street-level locationGet directions
Mailing address
115 E Concord St Unit 1
Orlando, FL 32801-1337
Registry dates
- Enumerated
- 2022-12-05
- Last updated
- 2022-12-05
- Certified
- 2022-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.