Jacksonville Skin Cancer Center, P.A.
NPI 1780861781 · MOHS-Micrographic Surgery Physician · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacksonville Skin Cancer Center, P.A. is a MOHS-Micrographic Surgery Physician organization in Jacksonville, FL (NPI 1780861781).
Provider details
- NPI number
- 1780861781
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Lutz, President(904) 737-0111
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-22
- Last updated
- 2012-12-21
Frequently asked questions
- What is Jacksonville Skin Cancer Center, P.A.'s NPI number?
- Jacksonville Skin Cancer Center, P.A.'s National Provider Identifier (NPI) is 1780861781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Skin Cancer Center, P.A.?
- Jacksonville Skin Cancer Center, P.A. is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Jacksonville Skin Cancer Center, P.A. located?
- Jacksonville Skin Cancer Center, P.A.'s practice location on file with NPPES is 4465 Baymeadows Rd Ste 5, Jacksonville, FL 32217-4727.
- What is Jacksonville Skin Cancer Center, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Skin Cancer Center, P.A. is (904) 737-0111.
- Does Jacksonville Skin Cancer Center, P.A. accept Medicare?
- Jacksonville Skin Cancer Center, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jacksonville Skin Cancer Center, P.A.?
- The authorized official listed on Jacksonville Skin Cancer Center, P.A.'s NPPES record is Michael Lutz, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Skin Cancer Center, P.A.'s NPI active?
- Yes — Jacksonville Skin Cancer Center, P.A.'s NPI (1780861781) is active in the NPPES registry as of the last update on 2012-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.