Advantage Dermatology, PA
NPI 1255744793ActiveOrganization· Dermatology· Jacksonville, FL
Dermatology in Jacksonville, Florida, registered in NPPES in June 2014. The authorized official on file is Oliver Angel Perez, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255744793 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 3, 2014 |
| Last updated in NPPES | Jun 19, 2024 |
| Certified by provider | Jun 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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