ACADEMIC DERMATOLOGY CONSULTANTS PA (NPI# 1952551467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952551467 |
Entity Type | Organization |
Organization Name | ACADEMIC DERMATOLOGY CONSULTANTS PA |
Practice Address |
1514 Nira St Jacksonville FL 32207-9702 |
Practice Telephone | 9043874991 |
Practice Fax Number | 9043843613 |
Mailing Telephone | 9043874991 |
Mailing Fax Number | 9043843613 |
Enumeration Date | 2008-09-22 |
Last Update Date | 2009-12-15 |
Authorized Official Name | MICHAEL J BERNHARDT (PRESIDENT/OWNER) |
Authorized Official Telephone | 9043874991 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ME0042082 | FL | Ambulatory Health Care Facilities |
Street Address |
1514 NIRA ST |
City | JACKSONVILLE |
State | FL |
Zip Code | 32207-9702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215973359 | Janice Lee White | Nurse Practitioner | 1514 Nira St, Jacksonville, FL 32207-8652 | 2006-06-20 |
1669918991 | Tammy Michelle Mitchell | Nurse Practitioner | 1514 Nira St, Jacksonville, FL 32207-8652 | 2017-01-10 |
1821531427 | Melissa Gagliardi | Nurse Practitioner | 1514 Nira St, Jacksonville, FL 32207-8652 | 2016-11-30 |
1720520687 | Christopher James Kallinger | Physician Assistant | 1514 Nira St, Jacksonville, FL 32207-8652 | 2016-11-09 |
1255744793 | Advantage Dermatology, Pa | Dermatology | 1514 Nira St, Jacksonville, FL 32207-8652 | 2014-06-03 |
1639503840 | Christine Summers Corso | Physician Assistant | 1514 Nira St, Jacksonville, FL 32207-8652 | 2013-08-23 |
1700179207 | Julie Thomas | Physician Assistant | 1514 Nira St, Jacksonville, FL 32207-8652 | 2011-05-17 |
1730345943 | Carmen Josefa Ramirez-boyd | Nurse Practitioner | 1514 Nira St, Jacksonville, FL 32207-8652 | 2008-08-07 |
1871779561 | Elizabeth Ann Leen-burns | Nurse Practitioner | 1514 Nira St, Jacksonville, FL 32207 | 2008-01-14 |
1245432970 | Oliver Angel Perez | Dermatology | 1514 Nira St, Jacksonville, FL 32207 | 2007-06-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
Find all providers in zip 32207 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
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). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881221075 | Simmons Pediatrics | Clinic/Center | 1771 Edgewood Ave W Ste 1, Jacksonville, FL 32208-7208 | 2020-03-26 |
1104218973 | Cardiohealth | Clinic/Center | 3599 University Blvd S Ste 104, Jacksonville, FL 32216-4200 | 2015-03-03 |
1386945582 | Barbara Ioannides Rappaport,md,pa | Clinic/Center | 8833 Perimeter Park Blvd Ste 203, Jacksonville, FL 32216-1111 | 2010-11-04 |
1245477991 | University of Florida College of Medicine | Clinic/Center | 4539 Beach Blvd, Jacksonville, FL 32207-4738 | 2009-01-17 |
1376753632 | Mclane Medical, Inc. | Clinic/Center | 140 Gateway Cir Unit 6, Jacksonville, FL 32259-4085 | 2007-05-23 |
1801457296 | Integrity Spine and Orthopedics, LLC | Clinic/Center | 4235 Sunbeam Rd, Jacksonville, FL 32257-6013 | 2019-06-26 |
1023405065 | Mayo Clinic | Clinic/Center | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2015-04-16 |
1518361393 | Ace Diagnostics LLC | Clinic/Center | 8130 Baymeadows Cir, Suite #109, Jacksonville, FL 32256-1880 | 2014-10-22 |
1164677332 | Carolina Pines Medical, PC | Clinic/Center | 3215 Henderson Dr, Jacksonville, NC 28546-5251 | 2008-12-01 |
1851554612 | Jacksonville Pediatric and Adult Congenital Cardiology | Clinic/Center | 8075 Gate Pkwy W, Suite 203, Jacksonville, FL 32216-3684 | 2008-07-02 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32207 |
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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.