Organization
JOHN MORELLO MD
Active
Organization
JOHN MORELLO MD
Active
Other names
Atlantic Boulevard Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MORELLO M.D. (PRESIDENT)
(904) 221-3100
Entity
Organization
Contact information
Practice address
13111 ATLANTIC BLVD, SUITE #4, JACKSONVILLE, FL 32225
(904) 221-3100
(904) 221-3107
Mailing address
2295 OCEANSIDE CT, ATLANTIC BEACH, FL 32233-5957
(904) 247-6461
(904) 247-2686
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME63627
FL
207ND0900X
Dermatopathology Physician
ME63627
FL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
ME63627
FL
207NP0225X
Pediatric Dermatology Physician
ME63627
FL
207NS0135X
Procedural Dermatology Physician
ME63627
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28207
BCBS OF FL
FL
Enumeration date
09/21/2006
Last updated
03/07/2023
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