NPIMap

Organization Active NPI

Dermatology Group of Florida PA

  • Dermatology Physician
  • Jacksonville Beach, FL
National Provider Identifier
1225833874
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY GROUP OF FLORIDA PA
Practice address
1361 13TH Ave S Ste 180
Jacksonville Beach, FL 32250-3235
Phone
(904) 247-4300
NPI assigned
Feb 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy Seguin
Title
VP of RCM
Phone
(954) 237-7090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1361 13TH Ave S Ste 180
Jacksonville Beach, FL 32250-3235

Mailing address

4000 Hollywood Blvd Ste 215S
Hollywood, FL 33021-1227
Phone (573) 533-3386

National Provider Directory

National Provider Directory
Tax ID family
Dermatology Group of Florida PA25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

1361 13th Ave S
Ste 180
Jax Bch, FL 32250
Phone (904) 247-4300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1225833874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 215S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211227",
            "telephone_number": "573-533-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 180",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503235",
            "telephone_number": "904-247-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY GROUP OF FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "SEGUIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "VP OF RCM",
        "authorized_official_telephone_number": "954-237-7090"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.