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Organization

ADVANTAGE DERMATOLOGY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OLIVER ANGEL PEREZ MD (CEO)
(904) 387-4991
Entity
Organization

Contact information

Practice address
1514 NIRA ST, JACKSONVILLE, FL 32207-8652
(904) 387-4991
(904) 384-3613
Mailing address
1514 NIRA ST, JACKSONVILLE, FL 32207-8652
(904) 387-4991
(904) 384-3613

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
06/03/2014
Last updated
06/19/2024
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