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ACADEMIC DERMATOLOGY CONSULTANTS PA NPI 1952551467


NPI Information

NPI: 1952551467
Provider Name: ACADEMIC DERMATOLOGY CONSULTANTS PA
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1514 NIRA ST
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 387-4991
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ACADEMIC DERMATOLOGY CONSULTANTS PA is a medical specialty clinic center in Jacksonville, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ACADEMIC DERMATOLOGY CONSULTANTS PA NPI is 1952551467. The provider is registered as an organization entity type.

The provider's business location address is:

1514 NIRA ST
JACKSONVILLE, FL
ZIP 32207-702
Phone: (904) 387-4991
Fax: (904) 384-3613

The provider's authorized official is Michael J Bernhardt .
The authorized official title is President/owner and has the following contact phone number (904) 387-4991.

The enumeration date for this NPI number is 9/22/2008 and was last updated on 12/15/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyME0042082FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C71835MEDICARE UPINFLORIDA
215870MEDICARE PINFLORIDA
3E4212MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.