First Coast Dermatology P a
NPI #1699968651 in Jacksonville, Florida
Provider Information
- NPI Number
- 1699968651
- Entity Type
- Organization
- Organization Name
- First Coast Dermatology P a
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 23, 2007
- Last Updated
- Oct 6, 2016
Practice Location
- Address
- 4479 BAYMEADOWS RD
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32217-4716
- Phone
- (904) 731-8300
Authorized Official
- Name
- DR. JUAN ANTONIO ROSARIO-COLLAZO, MD
- Title
- OWNER
- Phone
- (904) 731-8300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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