Precision Dermatology and Skin Surgery PA
NPI 1336553619ActiveOrganization· Dermatology· Jacksonville, FL
Dermatology in Jacksonville, Florida, registered in NPPES in June 2014. The authorized official on file is Angie Hubbard, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336553619 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2014 |
| Last updated in NPPES | Jun 30, 2021 |
| Certified by provider | Jun 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | ME76595 | FL |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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