Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Adilen L Dillingham, PA-C

Individual provider Surgical Physician Assistant · NPI 1366656688

MS. Adilen L Dillingham, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2001, 25 years ago. Practices with Park Avenue Dermatology PA, a 13-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
25
Licensed in
FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2776 Flynn Ct
Jacksonville, FL 32223-1801
Phone: (305) 458-6487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9101943 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9101943 (FL)

Record details

NPI number1366656688
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 9, 2007
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Park Avenue Dermatology Pa — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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