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

Florida Center for Dermatology, PA

Organization Dermatology Physician · NPI 1073870341

Florida Center for Dermatology, PA is a Dermatology Physician in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
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

105 Southpark Blvd Ste A103
St Augustine, FL 32086-5191
Phone: (904) 342-7765
Fax: (904) 342-7770
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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 ME92201 (FL)

Record details

NPI number1073870341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Kantor — President · (904) 342-7765
NPI enumeratedApril 11, 2012
Last updated in NPPESApril 11, 2012
Mailing address105 Southpark Blvd, Suite A103, St Augustine, FL 32086-5191

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