NPI 1265960264 · live from the CMS NPI Registry
Mary Elizabeth Anderson, MD
Dermatology in Jacksonville Beach, FL. National Provider Identifier 1265960264, active.
NPI record
| NPI | 1265960264 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 3200 3rd St S Ste 200, Jacksonville Beach, FL 32250 |
| Practice phone | 813-321-1786 |
| Mailing address | 18228 N Us Highway 41, Lutz, FL 33549 |
| Enumerated | June 2, 2017 |
| Last updated | September 26, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | ME155627 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.