Jacksonville Skin Cancer Center, P.A.

LBN: Jacksonville Skin Cancer Center, P.A.
Jacksonville Skin Cancer Center, P.A. is an health care organization with primary practice located at 4465 Baymeadows Rd Ste 5 , Jacksonville FL 32217-4727. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty. Jacksonville Skin Cancer Center, P.A. can be contacted via phone (904) 737-0111, or through Lutz, Michael Edward via phone (904) 737-0111.

Contact Information

Primary practice address
4465 Baymeadows Rd Ste 5 Jacksonville FL 32217-4727
Phone: (904) 737-0111
Fax: (904) 737-4422
Website:
Map and Directions
Authorized official contact:
Name: Lutz, Michael Edward Doctor of Medicine (MD)
Phone: (904) 737-0111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1780861781
LBN Legal business name Jacksonville Skin Cancer Center, P.A.
DBA Doing business as
Authorized official Lutz, Michael Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2008
Last updated Dec 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780861781 NPPES
Florida Other 42484 BLUE CROSS BLUE SHIELD

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