OrganizationActive
Academic Dermatology Consultants PA
NPI 1952551467 · Medical Specialty Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1952551467
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Bernhardt, President/Owner(904) 387-4991
- License
- ME0042082 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1514 Nira St
Jacksonville, FL 32207-9702
Phone: (904) 387-4991
Fax: (904) 384-3613
Approximate (ZIP-level) locationGet directions
Mailing address
1514 Nira St
Jacksonville, FL 32207-9702
Registry dates
- Enumerated
- 2008-09-22
- Last updated
- 2009-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.