NPIMap

Organization Active NPI

North Florida Dermatology Associates, PA

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1992851620
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME41919 Issued in FL
Legal business name
NORTH FLORIDA DERMATOLOGY ASSOCIATES, PA
Practice address
1541 Riverside Ave
Jacksonville, FL 32204-4124
Phone
(904) 354-4488
Fax
(904) 354-3331
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Frank Edward Schiavone, MDNPI 1922098441
Title
Sole Proprietor
Phone
(904) 354-4488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X ME41919 FL Primary

Addresses

Primary practice location

1541 Riverside Ave
Jacksonville, FL 32204-4124

Mailing address

1541 Riverside Ave
Jacksonville, FL 32204-4124
Phone (904) 354-4488

National Provider Directory

National Provider Directory

Locations

50 A1A N
Ste 103
Ponte Vedra Beach, FL 32082
Phone (904) 285-7202

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1992851620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044124",
            "telephone_number": "904-354-4488",
            "fax_number": "904-354-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044124",
            "telephone_number": "904-354-4488",
            "fax_number": "904-354-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA DERMATOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "SCHIAVONE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "904-354-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME41919",
            "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 Mar 20, 2012; 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.