PRECISION DERMATOLOGY AND SKIN SURGERY PA
NPI 1336553619
Dermatology in Jacksonville, FL

Active since June 16, 2014CLIA Certified · 2 labs
1550 RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 613-3966 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Precision Dermatology And Skin Surgery Pa NPPES

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

PRECISION DERMATOLOGY AND SKIN SURGERY PA (NPI 1336553619) 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 and lists Angie Hubbard, Manager, as its authorized official.

NPPES Registry Identity

NPI1336553619
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePRECISION DERMATOLOGY AND SKIN SURGERY PA
Location Address1550 RIVERSIDE AVEJacksonville, FL 32204-4161
Mailing Address1550 Riverside Ave Ste AJacksonville, FL 32204-4162 · (904) 923-6647
Organization SubpartNo
Authorized OfficialAngie HubbardManager · (904) 716-5102
Enumeration DateJune 16, 2014
Last NPPES UpdateJune 30, 2021
NPPES CertifiedJune 30, 2021
NPI 1336553619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in FL · ME76595
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
1550 RIVERSIDE AVE, Jacksonville, FL 32204

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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 Compliance 10D2081402

Precision Dermatology And Skin Surgery PA · Jacksonville, FL
Active · expires Sep 24, 2026
CLIA Number10D2081402
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorLeonard A. Shvartzman
Laboratory Phone(904) 923-6647
Laboratory LocationPrecision Dermatology And Skin Surgery PA1550 Riverside Ave Ste A, Jacksonville, FL 32204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2081407

Precision Dermatology And Skin Surgery PA · Orange Park, FL
Active · expires Oct 26, 2026
CLIA Number10D2081407
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorLeonard A. Shvartzman
Laboratory Phone(904) 923-6647
Laboratory LocationPrecision Dermatology And Skin Surgery PA1209 Park Ave, Orange Park, FL 32073
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

Physician Assistant
1550 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Dermatology (MOHS-Micrographic Surgery)
1550 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Ophthalmology
1550 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1550 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Dentist
1550 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Technician/Technologist (Optician)
1550 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Ophthalmology
1550 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Dentist (General Practice)
1550 RIVERSIDE AVE
JACKSONVILLE, FL 32204

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 Precision Dermatology And Skin Surgery PA's NPI number?

The NPI number for Precision Dermatology And Skin Surgery PA is 1336553619. It was assigned to this organization in the NPPES registry on June 16, 2014.

Where is Precision Dermatology And Skin Surgery PA located?

Precision Dermatology And Skin Surgery PA is located at 1550 Riverside Ave, Jacksonville, FL 32204. The listed phone number is (904) 613-3966.

What is Precision Dermatology And Skin Surgery PA's specialty?

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

Does Precision Dermatology And Skin Surgery PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Precision Dermatology And Skin Surgery PA accept?

Health plans from AvMed list Precision Dermatology And Skin Surgery PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Precision Dermatology And Skin Surgery PA was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.