NPI 1295903276 · live from the CMS NPI Registry
Advanced Dermatology, PA
Dermatology in Jacksonville Beach, FL. National Provider Identifier 1295903276, active.
NPI record
| NPI | 1295903276 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1361 13th Ave S, Suite 180, Jacksonville Beach, FL 32250 |
| Practice phone | 904-247-4300 |
| Enumerated | February 13, 2008 |
| Last updated | February 13, 2008 |
| Authorized official | Christine Ng, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Procedural Dermatology | 207NS0135X | me63182 (FL) |
| Dermatology primary | 207N00000X | me63182 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.