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Florida Center for Dermatology, P.A.

NPI 1073870341ActiveOrganization· Dermatology· St Augustine, FL

Dermatology in St Augustine, Florida, registered in NPPES in April 2012. The authorized official on file is Jonathan Kantor, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1073870341
StatusActive
Entity typeOrganization
NPI issuedApr 11, 2012
Last updated in NPPESApr 11, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000XME92201FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (FL)

Medicare sources and data years

Other Dermatology providers in St Augustine

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