BRUCE H PALEY PA (NPI# 1437568482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437568482 |
| Entity Type | Organization |
| Organization Name | BRUCE H PALEY PA |
| Practice Address |
1851 Old Moultrie Rd Suite B St Augustine FL 32084-4168 |
| Practice Telephone | 9048248088 |
| Practice Fax Number | 9048264105 |
| Mailing Telephone | 9048248088 |
| Mailing Fax Number | 9048264105 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | DR. BRUCE HENRY PALEY (PRESIDENT OF PA) |
| Authorized Official Telephone | 9048248088 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | OS5622 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 4394237 | 01 | |
| FL | 371938300 | 05 | |
| AVMED | 101894 | 01 | |
| RAILROAD MEDICARE | 070005035 | 01 | |
| BLUE CROSS | 80532 | 01 |
| Street Address |
1851 OLD MOULTRIE RD SUITE B |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32084-4168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912971102 | Jennifer Seda Ramirez | General Practice | 1851 Old Moultrie Rd, Suite A, St Augustine, FL 32084-4168 | 2006-02-14 |
| 1053602813 | Global Health Records, Inc. | Pediatrics | 1851 Old Moultrie Rd, St Augustine, FL 32084-4168 | 2011-04-28 |
| 1013141316 | Warren George Feldman | Family Medicine | 1851 Old Moultrie Rd, Suite A, St Augustine, FL 32084-4168 | 2009-05-14 |
| 1841211018 | James F Connor Pa | Family Medicine | 1851 Old Moultrie Rd, Suite A, St Augustine, FL 32084-4168 | 2006-07-22 |
| 1245250919 | James Francis Connor | Family Medicine | 1851 Old Moultrie Rd, Suite A, St Augustine, FL 32084-4168 | 2006-07-19 |
| 1619993375 | Bruce Henry Paley | Dermatology | 1851 Old Moultrie Rd, Suite B, St Augustine, FL 32084-4168 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| Find all providers in zip 32084 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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 additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952800112 | Premier Dermatology of Florida LLC | Dermatology | 1201 Arapaho Ave Ste A, St Augustine, FL 32084-4204 | 2018-02-02 |
| 1457501934 | David J Gross Md Pa | Dermatology | 1100-3 S Ponce De Leon Blvd, Suite 3b, St Augustine, FL 32084-6013 | 2008-09-22 |
| 1346225828 | David J Gross | Dermatology | 1100-3 S Ponce De Leon, St Augustine, FL 32084 | 2005-12-07 |
| 1073870341 | Florida Center for Dermatology, P.a. | Dermatology | 105 Southpark Blvd, Suite A103, St Augustine, FL 32086-5191 | 2012-04-11 |
| 1215265814 | Christina Brennan | Dermatology | 1750 Tree Blvd, Suite 1, St Augustine, FL 32084-5715 | 2009-11-20 |
| 1619993375 | Bruce Henry Paley | Dermatology | 1851 Old Moultrie Rd, Suite B, St Augustine, FL 32084-4168 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002154 | Precision Skin LLC | Dermatology | 3501 S University Dr Ste 5, Davie, FL 33328-2001 | 2020-10-28 |
| 1487252417 | Janice Reaume | Dermatology | 3335 Imperial Manor Way, Mulberry, FL 33860-5519 | 2020-10-12 |
| 1922617729 | Synergymd, LLC | Dermatology | 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 | 2020-07-28 |
| 1518585447 | Alexander F Wong | Dermatology | 1300 Goodlette-frank Rd N, Naples, FL 34102-5243 | 2020-07-07 |
| 1508495003 | Elite Dermatology | Dermatology | 401 Coral Way Ste 207, Coral Gables, FL 33134-4924 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1396380044 | Suzanne Marie Smith | Dermatology | 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 | 2019-11-15 |
| 1376188383 | Enchantress Dermatology, Inc. | Dermatology | 241 Nw 119 Ave, Miami, FL 33182-1329 | 2019-11-13 |
| 1699319988 | Revivify Dermatology, LLC | Dermatology | 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 | 2019-10-30 |
| 1841833928 | Carly Marie Maher | Dermatology | 90 Cypress Way E Ste 50, Naples, FL 34110-9275 | 2019-10-22 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32084 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.