DERMATOLOGY AND LASER CENTER
NPI 1912434242
Dermatology - MOHS-Micrographic Surgery in Orange Park, FL

Active since May 17, 2017
2055 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073(904) 276-4500(904) 276-4160 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, May 17, 2017 (2 updates tracked since 2017).

  • Organization
  • Dermatology
  • MOHS-Micrographic Surgery

About DERMATOLOGY AND LASER CENTER

This page provides the complete NPI Profile along with additional information for Dermatology And Laser Center, a provider established in Orange Park, Florida operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1912434242 assigned on May 2017. The practitioner's primary taxonomy code is 207ND0101X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Dermatology And Laser Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Dermatology And Laser Center. The authorized official of this NPI record is Dr. James S Trimble Md (President)

NPI
1912434242 Verify this NPI
Provider Legal Name
JAMES S. TRIMBLE, M.D. P.A.
Other Organization Name
DERMATOLOGY AND LASER CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2055 PROFESSIONAL CENTER DR ORANGE PARK, FL 32073
Location Phone
(904) 276-4500
Location Fax
(904) 276-4160
Mailing Address
2055 PROFESSIONAL CENTER DR ORANGE PARK, FL 32073
Mailing Phone
(904) 276-4500
Mailing Fax
(904) 276-4160
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2017
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207N00000XAllopathic & Osteopathic Physicians

Dermatology

(FL)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JAMES S TRIMBLE MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(904) 276-4500

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912434242, enumerated as an "organization" on May 17, 2017.

The provider is located at 2055 PROFESSIONAL CENTER DR ORANGE PARK, FL 32073 and the phone number is (904) 276-4500.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.