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

Precision Dermatology and Skin Surgery PA

Organization Dermatology Physician · NPI 1336553619

Precision Dermatology and Skin Surgery PA is a Dermatology Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
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

1550 Riverside Ave
Jacksonville, FL 32204-4161
Phone: (904) 613-3966
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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 ME76595 (FL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1336553619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angie Hubbard — Manager · (904) 716-5102
NPI enumeratedJune 16, 2014
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021
Mailing address1550 Riverside Ave Ste A, Jacksonville, FL 32204-4162

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