Organization
BEAL DERMATOLOGY, PLLC
Active
Organization
BEAL DERMATOLOGY, PLLC
Active
Other names
Jacksonville Skin Cancer Specialists, Jacksonville Dermatology & Cosmetic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON T BEAL MD (MANAGER)
(314) 422-6882
Entity
Organization
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 101, JACKSONVILLE, FL 32216-6285
(904) 420-7372
(904) 914-9231
Mailing address
6817 SOUTHPOINT PKWY STE 101, JACKSONVILLE, FL 32216-6285
(904) 420-7372
(904) 914-9231
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
03/10/2020
Last updated
08/06/2024
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