Organization · Type 2 NPI

Southside Dermatology, P.a.

Specialist · Jacksonville, FL

NPI number 1023276607 Active

Practice location

4727 Sunbeam Rd, Suite 101
Jacksonville, FL 32257-6107

Call (904) 880-0622 Map

Fax (904) 880-0623

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME16473 (FL)

Specialist: 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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About NPI 1023276607

Southside Dermatology, P.a.'s National Provider Identifier is 1023276607, issued on May 29, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 2, 2014.