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NPI · 1073870341 · NPPES-sourced

Florida Center For Dermatology, P.A.

ActiveDermatology
NPI Number
1073870341
Type 2 · Organisation
Taxonomy Code
207N00000X
Contact
(904) 342-7765
License FL · ME92201
Last Updated
Enumerated
Primary practice addressFL · 32086-5191
105 Southpark Blvd, Suite A103St Augustine, FL 32086-5191
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About this NPIWhat this record shows.

NPI 1073870341 is registered to Florida Center For Dermatology, P.A., a healthcare organisation classified as "Dermatology" and located at 105 Southpark Blvd, Suite A103 in St Augustine, Florida. The organisation's authorised official is Jonathan Kantor. The organisation has been enumerated in the NPI registry since 2012.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Florida Center For Dermatology, P.A. accepts. To confirm in-network status with your specific health plan, contact Florida Center For Dermatology, P.A. directly at (904) 342-7765.

Frequently asked

Yes. NPI 1073870341 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology is a medical specialty focused on conditions affecting the skin, hair, and nails, including acne, eczema, psoriasis, skin cancer screenings, and cosmetic procedures.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (904) 342-7765.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Florida Center For Dermatology, P.A. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207N00000X
Last updated
Enumerated
StatusActive
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