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

First Coast Dermatology P A

Organization Specialist · NPI 1699968651

First Coast Dermatology P A is a Specialist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

4479 Baymeadows Rd
Jacksonville, FL 32217-4716
Phone: (904) 731-8300
Fax: (904) 737-7901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME0026592 (FL)

Record details

NPI number1699968651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Rosario-Collazo — Owner · (904) 731-8300
NPI enumeratedAugust 23, 2007
Last updated in NPPESOctober 6, 2016
Mailing address4479 Baymeadows Rd, Jacksonville, FL 32217-4716

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