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

Southeastern Dermatology Group PA

Organization Dermatology Physician · NPI 1518972231

Southeastern Dermatology Group PA is a Dermatology Physician in Panama City, Florida. Registered with an NPI since 2006.

In the registry since
2006
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

2505 Harrison Ave
Panama City, FL 32405-4423
Phone: (850) 233-3376
Fax: (850) 522-8354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1518972231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Ward — President · (850) 233-3376
Other names Dermatology Specialists
NPI enumeratedJuly 30, 2006
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address2505 Harrison Ave, Panama City, FL 32405-4423

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