First Coast Dermatology P A in Jacksonville - Specialist
First Coast Dermatology P A - NPI 1699968651
First Coast Dermatology P A is a Specialist in Jacksonville, Florida. First Coast Dermatology P A practices all healthcare services and medical treatments related to Specialist. The NPI Number for First Coast Dermatology P A is 1699968651. The last update date is 2016-10-06.
First Coast Dermatology P A's current location address is 4479 Baymeadows Rd, Jacksonville, Florida. You can contact this provider via phone number 9047318300 and fax number 9047377901. The mailing address for First Coast Dermatology P A is 4479 Baymeadows Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | First Coast Dermatology P A |
|---|---|
| Address | 4479 Baymeadows Rd, Jacksonville, Florida |
| Phone Number | 9047318300 |
| Fax Number | 9047377901 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Rosario-Collazo Antonio Juan |
| Credentials | MD |
| Telephone Number | 9047318300 |
NPI Number Detail
| NPI Number | 1699968651 |
|---|---|
| Provider Enumeration Date | 2007-08-23 |
| Last Updated Date | 2016-10-06 |
Provider Mailing Address Detail
| Address | 4479 Baymeadows Rd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322174716 |
| Phone Number | 9047318300 |
| Fax Number | 9047377901 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME0026592 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identification code assigned to First Coast Dermatology P A by the Centers for Medicare & Medicaid Services?
The First Coast Dermatology P A has been issued the NPI (National Provider Identifier) 1699968651. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where First Coast Dermatology P A is physically located?
The First Coast Dermatology P A is physically situated at the following address: 4479 Baymeadows Rd, Jacksonville, FL, 322174716.
What is First Coast Dermatology P A's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for First Coast Dermatology P A is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699968651 to First Coast Dermatology P A?
The Centers for Medicare & Medicaid Services originally issued the 1699968651 to First Coast Dermatology P A on 2007-08-23.
As of what date were the details pertaining to First Coast Dermatology P A last refreshed?
The information related to the First Coast Dermatology P A, including its address, specialty, and other relevant details, was last updated on 2016-10-06.