Organization
FIRST COAST DERMATOLOGY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN ANTONIO ROSARIO-COLLAZO MD (OWNER)
(904) 731-8300
Entity
Organization
Contact information
Practice address
4479 BAYMEADOWS RD, JACKSONVILLE, FL 32217-4716
(904) 731-8300
(904) 737-7901
Mailing address
4479 BAYMEADOWS RD, JACKSONVILLE, FL 32217-4716
(904) 731-8300
(904) 737-7901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0026592
FL
Other
Enumeration date
08/23/2007
Last updated
10/06/2016
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