Organization
ADVANCED DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE NG M.D. (PRESIDENT)
(904) 247-4300
Entity
Organization
Contact information
Practice address
1361 13TH AVE S, SUITE 180, JACKSONVILLE BEACH, FL 32250-3233
(904) 247-4300
(904) 247-4350
Mailing address
1361 13TH AVE S, SUITE 180, JACKSONVILLE BEACH, FL 32250-3233
(904) 247-4300
(904) 247-4350
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME63182
FL
207NS0135X
Procedural Dermatology Physician
ME63182
FL
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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