Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advanced Dermatology, PA

Organization Dermatology Physician · NPI 1295903276

Advanced Dermatology, PA is a Dermatology Physician in Jacksonville Beach, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1361 13th Ave S Ste 180
Jacksonville Beach, FL 32250-3233
Phone: (904) 247-4300
Fax: (904) 247-4350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME63182 (FL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence ME63182 (FL)

Record details

NPI number1295903276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Ng — President · (904) 247-4300
NPI enumeratedFebruary 13, 2008
Last updated in NPPESFebruary 13, 2008
Mailing address1361 13th Ave S, Suite 180, Jacksonville Beach, FL 32250-3233

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