Active NPI
Dermatology Specialists of North Florida, P.a.
- Dermatology Physician
- Jacksonville, FL
National Provider Identifier
1285661710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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 DirectoryLocations
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.