ACADEMIC DERMATOLOGY CONSULTANTS PA


Address: 1514 Nira St, Jacksonville, FL 32207-9702
Phone: 9043874991

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
ME0042082 FL Ambulatory Health Care Facilities

Office Location

Street Address 1514 NIRA ST
City JACKSONVILLE
State FL
Zip Code 32207-9702

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City JACKSONVILLE
Zip Code 32207

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Dataset Information

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.

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