Organization
FIRST COAST DERMATOLOGY AND INTERNAL MEDICINE P A
Active
Organization
FIRST COAST DERMATOLOGY AND INTERNAL MEDICINE P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON O MOON MD (DIRECTOR)
(904) 249-6110
Entity
Organization
Contact information
Practice address
3200 3RD ST S, SUITE 200, JACKSONVILLE BEACH, FL 32250-6056
(904) 249-6110
(904) 249-6119
Mailing address
3200 3RD ST S, SUITE 200, JACKSONVILLE BEACH, FL 32250-6056
(904) 249-6110
(904) 249-6119
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
08/18/2017
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