Organization Active NPI

Dermatology Specialists of North Florida, P.a.

  • Dermatology Physician
  • Jacksonville, FL
National Provider Identifier
1285661710
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY SPECIALISTS OF NORTH FLORIDA, P.A.
Practice address
7711 Baymeadows Rd E Ste 6
Jacksonville, FL 32256-9110
Phone
(904) 731-1770
Fax
(904) 996-8300
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Dr. John P Kartsonis, MD
Title
President
Phone
(904) 731-1770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

7711 Baymeadows Rd E Ste 6
Jacksonville, FL 32256-9110

Mailing address

7711 Baymeadows Rd E Ste 6
Jacksonville, FL 32256-9110
Phone (904) 731-1770

National Provider Directory

National Provider Directory

Locations

11512 Lake Mead Ave
Unit 401
Jacksonville, FL 32256
Phone (904) 280-1285

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1285661710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 BAYMEADOWS RD E STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569110",
            "telephone_number": "904-731-1770",
            "fax_number": "904-996-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 BAYMEADOWS RD E STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569110",
            "telephone_number": "904-731-1770",
            "fax_number": "904-996-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SPECIALISTS OF NORTH FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "KARTSONIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-731-1770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.