ADVANTAGE DERMATOLOGY, PA
NPI 1255744793
Dermatology in Jacksonville, FL

Q: What is Advantage Dermatology, PA's NPI number?

The NPI number for Advantage Dermatology, PA is 1255744793. It was assigned to this organization in the NPPES registry on June 3, 2014.

Q: What is Advantage Dermatology, PA's specialty?

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

Active since June 03, 2014CLIA Certified · 2 labs

1514 NIRA ST, JACKSONVILLE, FL 32207(904) 387-4991(904) 384-3613 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2024, Sep 26, 2018 (2 updates tracked since 2018).

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About Advantage Dermatology, Pa NPPES

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

ADVANTAGE DERMATOLOGY, PA (NPI 1255744793) is a healthcare organization registered as a dermatology in Jacksonville, Florida and active in the NPI registry since June 2014. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Neptune Beach, and lists Oliver Angel Perez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255744793

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameADVANTAGE DERMATOLOGY, PA

Location Address1514 NIRA STJacksonville, FL 32207-8652

Mailing Address1514 Nira StJacksonville, FL 32207-8652 · (904) 387-4991 · Fax (904) 384-3613

Phone(904) 387-4991

Fax(904) 384-3613

Organization SubpartNo

Authorized OfficialOliver Angel PerezCeo · (904) 387-4991

Enumeration DateJune 3, 2014

Last NPPES UpdateJune 19, 20242 updates tracked since enumeration

NPPES CertifiedJune 19, 2024

✔ NPI 1255744793 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.

1514 NIRA ST, Jacksonville, FL 32207

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Secondary Practice Location 1

Location 1700 3rd St Ste 101Neptune Beach, FL 32266-5082 · Phone (904) 387-4991 · Fax (904) 384-3613

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 of Accreditation 10D0686385

Advantage Dermatology PA · Jacksonville, FL

Active · expires Mar 7, 2027

CLIA Number10D0686385

Laboratory TypePhysician Office

Certificate Effective DateMarch 8, 2025

Certificate Expiration DateMarch 7, 2027

Laboratory DirectorDr. Oliver A. Perez

Laboratory Phone(904) 387-4991

Laboratory LocationAdvantage Dermatology PA1514 Nira St, Jacksonville, FL 32207

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 10D2133405

Advantage Dermatology PA · Neptune Beach, FL

Active · expires Feb 11, 2027

CLIA Number10D2133405

Laboratory TypePhysician Office

Certificate Effective DateFebruary 12, 2025

Certificate Expiration DateFebruary 11, 2027

Laboratory DirectorOliver A. Perez

Laboratory Phone(904) 387-4991

Laboratory LocationAdvantage Dermatology PA700 3rd St, Neptune Beach, FL 32266

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

JANICE LEE WHITE APRN

Nurse Practitioner