{"npi":"1124906433","type":"NPI-2","status":"active","name":{"display":"River City Dermatology PLLC","other":[],"organization_name":"RIVER CITY DERMATOLOGY PLLC","authorised_official":"Sima Amin"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1361 13TH AVE S STE 140","city":"JACKSONVILLE BEACH","state":"FL","postal_code":"322503263","country_code":"US","phone":"9043728031","fax":"9043726122"},{"purpose":"MAILING","street_1":"1361 13TH AVE S STE 140","city":"JACKSONVILLE BEACH","state":"FL","postal_code":"322503263","country_code":"US","phone":"9043728031","fax":"9043726122"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20260306003249","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"2062994072"}]},"enumeration_date":"2025-08-25","last_updated":"2026-01-21","_meta":{"source":"NPPES","snapshot_date":"2026-01-21","doc_url":"https://findmynpi.com/api"}}