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JOHN MORELLO MD NPI 1609975374


NPI Information

NPI: 1609975374
Provider Name: JOHN MORELLO MD

Doing Business As: ATLANTIC BOULEVARD DERMATOLOGY

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
13111 ATLANTIC BLVD
SUITE #4
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 221-3100
Get Directions

JOHN MORELLO MD is a dermatology in Jacksonville, FL. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. JOHN MORELLO MD NPI is 1609975374. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Atlantic Boulevard Dermatology.

The provider's business location address is:

13111 ATLANTIC BLVD
SUITE #4
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 221-3100
Fax: (904) 221-3107

The provider's authorized official is John Morello .
The authorized official title is President and has the following contact phone number (904) 221-3100.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/29/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0900XDermatologyDermatopathologyME63627FLORIDANo
2207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyME63627FLORIDANo
3207NP0225XDermatologyPediatric DermatologyME63627FLORIDANo
4207NS0135XDermatologyProcedural DermatologyME63627FLORIDANo
5207N00000XDermatologyME63627FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F15543MEDICARE UPINFLORIDA
228207MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3BM3444231OTHERFLORIDADEA
428207OTHERFLORIDABCBS OF FL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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