Atlantic Boulevard Dermatology

LBN: John Morello Md
Atlantic Boulevard Dermatology is an health care organization with primary practice located at 13111 Atlantic Blvd Suite #4, Jacksonville FL 32225. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. John Morello Md can be contacted via phone (904) 221-3100, or through Morello, John via phone (904) 221-3100.

Contact Information

Primary practice address
13111 Atlantic Blvd Suite #4 Jacksonville FL 32225
Phone: (904) 221-3100
Fax: (904) 221-3107
Website:
Map and Directions
Authorized official contact:
Name: Morello, John Doctor of Medicine (MD)
Phone: (904) 221-3100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME63627 Florida
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X ME63627 Florida
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X ME63627 Florida
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X ME63627 Florida
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME63627 Florida

Profile Details

NPI number 1609975374
LBN Legal business name John Morello Md
DBA Doing business as Atlantic Boulevard Dermatology
Authorized official Morello, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 7th, 2023 - about last year

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 1609975374 NPPES
Florida Other 28207 BCBS OF FL

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