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RIVER CITY DERMATOLOGY PLLC
NPI 1124906433
Dermatology in Jacksonville Beach, FL

Active since August 25, 2025CLIA 10D2337217 · Microscopy
1361 13TH AVE S STE 140, JACKSONVILLE BEACH, FL 32250(904) 372-8031(904) 372-6122 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About River City Dermatology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVER CITY DERMATOLOGY PLLC (NPI 1124906433) is a healthcare organization registered as a dermatology in Jacksonville Beach, Florida and active in the NPI registry since August 2025. The organization holds a CLIA Microscopy certificate valid through January 19, 2028 and lists Sima D Amin, Owner, as its authorized official.

NPPES Registry Identity

NPI1124906433
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRIVER CITY DERMATOLOGY PLLC
Location Address1361 13TH AVE S STE 140Jacksonville Beach, FL 32250-3263
Mailing Address1361 13th Ave S Ste 140Jacksonville Beach, FL 32250-3263 · (904) 372-8031 · Fax (904) 372-6122
Phone(904) 372-8031
Fax(904) 372-6122
Organization SubpartNo
Authorized OfficialSima D AminOwner · (818) 282-2303
Enumeration DateAugust 25, 2025
Last NPPES UpdateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
✔ NPI 1124906433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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.
1361 13TH AVE S STE 140, Jacksonville Beach, FL 32250
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2337217

River City Dermatology PLLC · Jacksonville Beach, FL
Active · expires Jan 19, 2028
CLIA Number10D2337217
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorSima D. Amin
Laboratory Phone(904) 372-8031
Laboratory LocationRiver City Dermatology PLLC1361 13th Ave, Jacksonville Beach, FL 32250
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIMA D AMIN MD
Dermatology
1361 13TH AVE S STE 140
JACKSONVILLE BEACH, FL 32250
Duval County (904) 372-8031
KETAMINE WELLNESS INSTITUTE OF JACKSONVILLE BEACH, LLC
Pain Medicine (Interventional Pain Medicine)
1361 13TH AVE S STE 140
JACKSONVILLE BEACH, FL 32250
Duval County (904) 373-8153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is River City Dermatology PLLC's NPI number?

The NPI number for River City Dermatology PLLC is 1124906433. It was assigned to this organization in the NPPES registry on August 25, 2025.

Where is River City Dermatology PLLC located?

River City Dermatology PLLC is located at 1361 13th Ave S Ste 140, Jacksonville Beach, FL 32250. The listed phone number is (904) 372-8031.

What is River City Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does River City Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D2337217) is associated with this NPI, valid through January 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for River City Dermatology PLLC was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.