JACKSONVILLE SKIN CANCER CENTER, P.A. – NPI #1780861781
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

JACKSONVILLE SKIN CANCER CENTER, P.A. is a dermatologist located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1780861781 to JACKSONVILLE SKIN CANCER CENTER, P.A. on January 22, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 13 years ago on Dec 21, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSONVILLE SKIN CANCER CENTER, P.A. below.

NPI Profile for
JACKSONVILLE SKIN CANCER CENTER, P.A.

NPI Number
1780861781
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSONVILLE SKIN CANCER CENTER, P.A.
Primary location
4465 BAYMEADOWS RD STE 5
JACKSONVILLE, FL 32217-4727
Phone: (904) 737-0111 Fax: (904) 737-4422
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL LUTZ
PRESIDENT
Phone: (904) 737-0111
Updated
Identifiers

Identifiers for JACKSONVILLE SKIN CANCER CENTER, P.A.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDFL42484
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.