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ASSOCIATED DERMATOLOGIST PA
NPI 1861687071
Dermatology in Ormond Beach, FL

Active since September 11, 2007
155 N NOVA RD, ORMOND BEACH, FL 32174(386) 672-3111 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Associated Dermatologist Pa NPPES

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

ASSOCIATED DERMATOLOGIST PA (NPI 1861687071) is a healthcare organization registered as a dermatology in Ormond Beach, Florida and active in the NPI registry since September 2007. The organization lists John C Long, Owner, as its authorized official.

NPPES Registry Identity

NPI1861687071
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameASSOCIATED DERMATOLOGIST PA
Location Address155 N NOVA RDOrmond Beach, FL 32174-5138
Mailing Address155 N Nova RdOrmond Beach, FL 32174-5138 · (386) 672-3111
Phone(386) 672-3111
Organization SubpartNo
Authorized OfficialJohn C LongOwner · (386) 672-3111
Enumeration DateSeptember 11, 2007
Last NPPES UpdateSeptember 25, 2007
✔ NPI 1861687071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · ME68137
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.
155 N NOVA RD, Ormond Beach, FL 32174
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Other Identifiers 4

Medicare UPING62265FL
Medicare PINK0008FL
OtherN6001Medicare
OtherK0008Medicare

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 2

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

DR. JOHN CHARLES LONG JR. MD
Dermatology
155 N NOVA RD
ORMOND BEACH, FL 32174
Flagler County (386) 672-3111
LONG DERMATOLOGY PA
Dermatology
155 N NOVA RD
ORMOND BEACH, FL 32174
Flagler County (386) 672-3111

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 Associated Dermatologist PA's NPI number?

The NPI number for Associated Dermatologist PA is 1861687071. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Associated Dermatologist PA located?

Associated Dermatologist PA is located at 155 N Nova Rd, Ormond Beach, FL 32174. The listed phone number is (386) 672-3111.

What is Associated Dermatologist 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 Associated Dermatologist PA was last updated on September 25, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.