RIVER CITY DERMATOLOGY PLLC
NPI 1124906433
Dermatology in Jacksonville Beach, FL
NPI Status: Active since August 25, 2025
Contact Information
1361 13TH AVE S STE 140
JACKSONVILLE BEACH, FL
ZIP 32250
Phone: (904) 372-8031
Fax: (904) 372-6122
- Organization
- Dermatology
- CLIA Number: 10D2337217
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-19-2028
About RIVER CITY DERMATOLOGY PLLC
This page provides the complete NPI Profile along with additional information for River City Dermatology Pllc, a provider established in Jacksonville Beach, Florida operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1124906433 assigned on August 2025. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated January 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Sima D Amin Md (Owner)
- NPI
- 1124906433
- Provider Name
- RIVER CITY DERMATOLOGY PLLC
- Entity Type
- Organization
- Location Address
- 1361 13TH AVE S STE 140 JACKSONVILLE BEACH, FL 32250
- Location Phone
- (904) 372-8031
- Location Fax
- (904) 372-6122
- Mailing Address
- 1361 13TH AVE S STE 140 JACKSONVILLE BEACH, FL 32250
- Mailing Phone
- (904) 372-8031
- Mailing Fax
- (904) 372-6122
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-25-2025
- Last Update Date
- 01-21-2026
- Code Navigator
A dermatologist like River City Dermatology Pllc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2337217
- Facility Type
- Physician Office
- Certificate Effective Date
- January 20, 2026
- Certificate Expiration Date
- January 19, 2028
- Laboratory Director
- SIMA D. AMIN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to River City Dermatology Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124906433, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
JACKSONVILLE BEACH, FL 32250
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124906433, enumerated as an "organization" on August 25, 2025.
The provider is located at 1361 13TH AVE S STE 140 JACKSONVILLE BEACH, FL 32250 and the phone number is (904) 372-8031.
Dermatology with taxonomy code 207N00000X.
