FIRST COAST DERMATOLOGY P A is a specialist in Jacksonville, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FIRST COAST DERMATOLOGY P A NPI is 1699968651. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4479 BAYMEADOWS RD
JACKSONVILLE, FL
ZIP 32217-716
Phone: (904) 731-8300
Fax: (904) 737-7901
The provider's authorized official is Juan Antonio Rosario-collazo .
The authorized official title is Owner and has the following contact phone number (904) 731-8300.
The CLIA number assigned to this NPI record is 10D1054592 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 8/23/2007 and was last updated on 10/6/2016.