DERMATOLOGY AND LASER CENTER
NPI 1679574164
Dermatology in Orange Park, FL

Active since August 09, 2005
2055 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073(904) 276-4500(904) 276-4160 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology And Laser Center NPPES

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

DERMATOLOGY AND LASER CENTER (NPI 1679574164) is a healthcare organization registered as a dermatology in Orange Park, Florida and active in the NPI registry since August 2005. The organization lists N Fred Eaglstein, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1679574164
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameN FRED EAGLSTEIN DO PA
Location Address2055 PROFESSIONAL CENTER DROrange Park, FL 32073-4461
Mailing Address2055 Professional Center DrOrange Park, FL 32073-4461 · (904) 276-4500 · Fax (904) 276-4160
Fax(904) 276-4160
Organization SubpartNo
Authorized OfficialN Fred EaglsteinPhysician/owner · (904) 276-4500
Enumeration DateAugust 9, 2005
Last NPPES UpdateJune 10, 2008
NPI 1679574164 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.
2055 PROFESSIONAL CENTER DR, Orange Park, FL 32073

Other Names 1

Doing Business AsDermatology And Laser Center

Other Identifiers 2

Medicaid043624100FL
Medicare PIN39768FL

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

Other Providers at the Same Location NPPES 7

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

Physician Assistant
2055 PROFESSIONAL CENTER DR
ORANGE PARK, FL 32073
Nurse Practitioner
2055 PROFESSIONAL CENTER DR
ORANGE PARK, FL 32073
Nurse Practitioner
2055 PROFESSIONAL CENTER DR
ORANGE PARK, FL 32073
Dermatology
2055 PROFESSIONAL CENTER DR
ORANGE PARK, FL 32073
Nurse Practitioner
2055 PROFESSIONAL CENTER DR
ORANGE PARK, FL 32073
Nurse Practitioner (Family)
2055 PROFESSIONAL CENTER DR
ORANGE PARK, FL 32073
Dermatology (MOHS-Micrographic Surgery)
2055 PROFESSIONAL CENTER DR
ORANGE PARK, FL 32073

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 N Fred Eaglstein Do PA's NPI number?

The NPI number for N Fred Eaglstein Do PA is 1679574164. It was assigned to this organization in the NPPES registry on August 9, 2005. The provider is doing business as Dermatology And Laser Center.

Where is N Fred Eaglstein Do PA located?

N Fred Eaglstein Do PA is located at 2055 Professional Center Dr, Orange Park, FL 32073. The listed phone number is (904) 276-4500.

What is N Fred Eaglstein Do PA's specialty?

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

When was this NPI record last updated?

The NPPES record for N Fred Eaglstein Do PA was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.