Florida Center For Dermatology, P.A.

LBN: Florida Center For Dermatology, P.A.
Florida Center For Dermatology, P.A. is an health care organization with primary practice located at 105 Southpark Blvd Suite A103, St Augustine FL 32086-5191. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Florida Center For Dermatology, P.A. can be contacted via phone (904) 342-7765, or through Kantor, Jonathan via phone (904) 342-7765.

Contact Information

Primary practice address
105 Southpark Blvd Suite A103 St Augustine FL 32086-5191
Phone: (904) 342-7765
Fax: (904) 342-7770
Website:
Map and Directions
Authorized official contact:
Name: Kantor, Jonathan Doctor of Medicine (MD)
Phone: (904) 342-7765

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME92201 Florida

Profile Details

NPI number 1073870341
LBN Legal business name Florida Center For Dermatology, P.A.
DBA Doing business as
Authorized official Kantor, Jonathan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2012
Last updated Apr 11th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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