Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Precision Dermatology and Skin Surgery PA

Organization Dermatology Physician · NPI 1336553619

Precision Dermatology and Skin Surgery PA provides Dermatology Physician services in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1550 Riverside Ave
Jacksonville, FL 32204-4161
Phone: (904) 613-3966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME76595 (FL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1336553619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angie Hubbard — Manager · (904) 716-5102
NPI enumeratedJune 16, 2014
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021
Mailing address1550 Riverside Ave Ste A, Jacksonville, FL 32204-4162

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