Advanced Dermatology, Pa in Jacksonville Beach - Procedural Dermatology
Advanced Dermatology, Pa - NPI 1295903276
Advanced Dermatology, Pa is a Procedural Dermatology in Jacksonville Beach, Florida. Advanced Dermatology, Pa practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Advanced Dermatology, Pa is 1295903276. The last update date is 2008-02-13.
Advanced Dermatology, Pa's current location address is 1361 13th Ave S, Jacksonville Beach, Florida. You can contact this provider via phone number 9042474300 and fax number 9042474350. The mailing address for Advanced Dermatology, Pa is 1361 13th Ave S, Jacksonville Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Dermatology, Pa |
|---|---|
| Address | 1361 13th Ave S, Jacksonville Beach, Florida |
| Phone Number | 9042474300 |
| Fax Number | 9042474350 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ng Christine |
| Credentials | M.D. |
| Telephone Number | 9042474300 |
NPI Number Detail
| NPI Number | 1295903276 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2008-02-13 |
Provider Mailing Address Detail
| Address | 1361 13th Ave S |
|---|---|
| City | Jacksonville Beach |
| State | Florida (FL) |
| Post Code | 322503233 |
| Phone Number | 9042474300 |
| Fax Number | 9042474350 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | ME63182 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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What is the Advanced Dermatology, Pa's unique identification number?
The Advanced Dermatology, Pa has been assigned the NPI (National Provider Identifier) Number 1295903276 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Advanced Dermatology, Pa is located?
The Advanced Dermatology, Pa is situated at the following address: 1361 13Th Ave S, Jacksonville Beach, FL, 322503233.
What is Advanced Dermatology, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Advanced Dermatology, Pa's area of specialization is Procedural Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Ns0135X.
When did Advanced Dermatology, Pa receive its 1295903276 assignment?
The Advanced Dermatology, Pa was assigned its 1295903276 on 2008-02-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Advanced Dermatology, Pa most recently updated or revised?
The information pertaining to Advanced Dermatology, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-13.
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