| NPI | 1841825791 |
|---|---|
| Doing Business As | JACKSONVILLE DERMATOLOGY & COSMETIC SURGERY |
| Doing Business As | JACKSONVILLE SKIN CANCER SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | BRANDON T BEAL Manager 314-422-6882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2024-08-06 |