DERMATOLOGY ADVANCED CARE P.A. NPI 1376714162

NPI Information

  • NPI: 1376714162
  • Provider Name: DERMATOLOGY ADVANCED CARE, P.A.
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • CLIA Number: 10D1010056
  • Address: 2433 MAHAN DR
    TALLAHASSEE, FL
    ZIP 32308
  • Phone: (850) 219-8811

Map and Directions

Get Directions

NPI Details

DERMATOLOGY ADVANCED CARE, P.A. is a dermatology in Tallahassee, 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. DERMATOLOGY ADVANCED CARE, P.A. NPI is 1376714162. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2433 MAHAN DR
TALLAHASSEE, FL
ZIP 32308-329
Phone: (850) 219-8811
Fax: (850) 219-8883

The provider's authorized official is James Brewster Caldwell .
The authorized official title is President and has the following contact phone number (850) 219-8811.

The CLIA number assigned to this NPI record is 10D1010056 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 3/19/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic SurgeryMASTER ID 8538No
2207N00000XDermatologyOS7111FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G24779MEDICARE UPINFLORIDA

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI