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Southside Dermatology, P.a.
Specialist in Jacksonville, Florida
NPI 1023276607

Southside Dermatology, P.a. is a Specialist based in Jacksonville, FL. Southside Dermatology, P.a. practices in Jacksonville, FL. The NPI Number for Southside Dermatology, P.a. is 1023276607 and holds a License No. ME16473 (Florida).

The current practice location address for Southside Dermatology, P.a. is 4727 Sunbeam Rd, Jacksonville, FL and can be reached out via phone at 904-880-0622 and via fax at 904-880-0623.

Location: 4727 Sunbeam Rd, Jacksonville, FL, 32257-6107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023276607
Provider Name
Southside Dermatology, P.a.
Credential
Provider Entity Type
Organization
Address
4727 Sunbeam Rd, Jacksonville, FL, 32257-6107
Phone Number
904-880-0622
Fax Number
904-880-0623
Provider Enumeration Date
05/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4727 Sunbeam Rd
City
Jacksonville
State
Florida
Zip
32257-6107
Phone Number
904-880-0622
Fax Number
904-880-0623
person
Provider Business Mailing Address Details
Address
4727 Sunbeam Rd
City
Jacksonville
State
Florida
Zip
32257-6107
Phone Number
904-880-0622
Fax Number
904-880-0623
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME16473 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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