Jacksonville Skin Cancer Center, P.A. in Jacksonville - Dermatology
Jacksonville Skin Cancer Center, P.A. - NPI 1780861781
Jacksonville Skin Cancer Center, P.A. is a Dermatology in Jacksonville, Florida. Jacksonville Skin Cancer Center, P.A. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jacksonville Skin Cancer Center, P.A. is 1780861781. The last update date is 2012-12-21.
Jacksonville Skin Cancer Center, P.A.'s current location address is 4465 Baymeadows Rd Ste 5, Jacksonville, Florida. You can contact this provider via phone number 9047370111 and fax number 9047374422. The mailing address for Jacksonville Skin Cancer Center, P.A. is 4465 Baymeadows Rd Ste 5, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacksonville Skin Cancer Center, P.A. |
|---|---|
| Address | 4465 Baymeadows Rd Ste 5, Jacksonville, Florida |
| Phone Number | 9047370111 |
| Fax Number | 9047374422 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lutz Edward Michael |
| Credentials | M.D. |
| Telephone Number | 9047370111 |
NPI Number Detail
| NPI Number | 1780861781 |
|---|---|
| Provider Enumeration Date | 2008-01-22 |
| Last Updated Date | 2012-12-21 |
Provider Mailing Address Detail
| Address | 4465 Baymeadows Rd Ste 5 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322174727 |
| Phone Number | 9047370111 |
| Fax Number | 9047374422 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42484 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Jacksonville Skin Cancer Center, P.A. by the Centers for Medicare & Medicaid Services?
The Jacksonville Skin Cancer Center, P.A. has been assigned the NPI (National Provider Identifier) 1780861781. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jacksonville Skin Cancer Center, P.A. is physically located?
The Jacksonville Skin Cancer Center, P.A. is situated at the following address: 4465 Baymeadows Rd Ste 5, Jacksonville, FL 322174727.
What is Jacksonville Skin Cancer Center, P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jacksonville Skin Cancer Center, P.A. is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780861781 to Jacksonville Skin Cancer Center, P.A.?
The Centers for Medicare & Medicaid Services originally issued the 1780861781 to Jacksonville Skin Cancer Center, P.A. on 2008-01-22.
When was the information regarding Jacksonville Skin Cancer Center, P.A., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacksonville Skin Cancer Center, P.A., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-12-21.
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