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ACADEMIC DERMATOLOGY CONSULTANTS PA
NPI 1952551467
Clinic/Center - Medical Specialty in Jacksonville, FL

Active since September 22, 2008
1514 NIRA ST, JACKSONVILLE, FL 32207(904) 387-4991(904) 384-3613 Get Directions Write a Review

NPPES record last updated: December 15, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Academic Dermatology Consultants Pa NPPES

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

ACADEMIC DERMATOLOGY CONSULTANTS PA (NPI 1952551467) is a healthcare organization registered as a medical specialty in Jacksonville, Florida and active in the NPI registry since September 2008. The organization lists Michael J Bernhardt, President/owner, as its authorized official.

NPPES Registry Identity

NPI1952551467
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameACADEMIC DERMATOLOGY CONSULTANTS PA
Location Address1514 NIRA STJacksonville, FL 32207-9702
Mailing Address1514 Nira StJacksonville, FL 32207-9702 · (904) 387-4991 · Fax (904) 384-3613
Phone(904) 387-4991
Fax(904) 384-3613
Organization SubpartNo
Authorized OfficialMichael J BernhardtPresident/owner · (904) 387-4991
Enumeration DateSeptember 22, 2008
Last NPPES UpdateDecember 15, 2009
✔ NPI 1952551467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in FL · ME0042082
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1514 NIRA ST, Jacksonville, FL 32207
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Other Identifiers 3

Medicare UPINC71835FL
Medicare PIN15870FL
Medicare PINE4212FL

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
1514 NIRA ST
JACKSONVILLE, FL 32207
Duval County (904) 387-4991
DR. OLIVER ANGEL PEREZ MD
Dermatology
1514 NIRA ST
JACKSONVILLE, FL 32207
Duval County (904) 387-4991
ADVANTAGE DERMATOLOGY, PA
Dermatology
1514 NIRA ST
JACKSONVILLE, FL 32207
Duval County (904) 387-4991
KAITLIN LAMBERT FRANKS FNP-C
Nurse Practitioner (Family)
1514 NIRA ST
JACKSONVILLE, FL 32207
Duval County (904) 387-4991
CHRISTINE SUMMERS CORSO PA-C
Physician Assistant
1514 NIRA ST
JACKSONVILLE, FL 32207
Duval County (904) 384-3613
TAMMY MICHELLE MITCHELL
Nurse Practitioner (Family)
1514 NIRA ST
JACKSONVILLE, FL 32207
Duval County (904) 387-4991
CHRISTOPHER JAMES KALLINGER PA-C, MMS
Physician Assistant
1514 NIRA ST
JACKSONVILLE, FL 32207
Duval County (904) 387-4991
NATALIE CARRENO APRN
Nurse Practitioner (Family)
1514 NIRA ST
JACKSONVILLE, FL 32207
Duval County (904) 387-4991

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 Academic Dermatology Consultants PA's NPI number?

The NPI number for Academic Dermatology Consultants PA is 1952551467. It was assigned to this organization in the NPPES registry on September 22, 2008.

Where is Academic Dermatology Consultants PA located?

Academic Dermatology Consultants PA is located at 1514 Nira St, Jacksonville, FL 32207. The listed phone number is (904) 387-4991.

What is Academic Dermatology Consultants PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Academic Dermatology Consultants PA was last updated on December 15, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.