NPI 1255744793 · live from the CMS NPI Registry
Advantage Dermatology, PA
Dermatology in Jacksonville, FL. National Provider Identifier 1255744793, active.
NPI record
| NPI | 1255744793 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1514 Nira St, Jacksonville, FL 32207 |
| Practice phone | 904-387-4991 |
| Enumerated | June 3, 2014 |
| Last updated | June 19, 2024 |
| Authorized official | Oliver Perez, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.