FLORIDA CENTER FOR DERMATOLOGY, P.A.
NPI 1073870341
Dermatology in St Augustine, FL
NPI Status: Active since April 11, 2012
Contact Information
105 SOUTHPARK BLVD
SUITE A103
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 342-7765
Fax: (904) 342-7770
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 10D2043829
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-14-2026
About FLORIDA CENTER FOR DERMATOLOGY, P.A.
This page provides the complete NPI Profile along with additional information for Florida Center For Dermatology, P.a., a provider established in St Augustine, Florida operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1073870341 assigned on April 2012. The practitioner's primary taxonomy code is 207N00000X with license number ME92201 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jonathan Kantor M.d. (President)
- NPI
- 1073870341
- Provider Name
- FLORIDA CENTER FOR DERMATOLOGY, P.A.
- Entity Type
- Organization
- Location Address
- 105 SOUTHPARK BLVD SUITE A103 ST AUGUSTINE, FL 32086
- Location Phone
- (904) 342-7765
- Location Fax
- (904) 342-7770
- Mailing Address
- 105 SOUTHPARK BLVD SUITE A103 ST AUGUSTINE, FL 32086
- Mailing Phone
- (904) 342-7765
- Mailing Fax
- (904) 342-7770
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-11-2012
- Last Update Date
- 04-11-2012
- Code Navigator
A dermatologist like Florida Center For Dermatology, P.a. is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME92201
- License State
- FL
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2025) - HMO
- AvMed Entrust Silver 550 (2025) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2025) - HMO
- AvMed Entrust Silver Standard (2025) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2043829
- Facility Type
- Physician Office
- Certificate Effective Date
- November 15, 2024
- Certificate Expiration Date
- November 14, 2026
- Laboratory Director
- JONATHAN KANTOR
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Florida Center For Dermatology, P.a. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 8 | 7 | 0 | 3 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 16 | 7 | 0 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 6 + 7 + 0 + 3 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1073870341 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1710987805 | DR. BRETT CUTLER DPM Individual | Podiatrist | 105 SOUTHPARK BLVD STE A103 ST AUGUSTINE, FL 32086 (904) 824-0869 |
| 1518937713 | MR. STEFAN L STANESCU MD Individual | Orthopaedic Surgery | 105 SOUTHPARK BLVD SUITE C300 SAINT AUGUSTINE, FL 32086 (904) 797-2663 |
| 1427015072 | MR. JOSEPH N. WEBB PT Individual | Physical Therapist | 105 SOUTHPARK BLVD SUITE B201 ST AUGUSTINE, FL 32086 (904) 824-1636 |
| 1962469064 | LYNN M O'DONNELL PT Individual | Physical Therapist | 105 SOUTHPARK BLVD SUITE B201 ST AUGUSTINE, FL 32086 (904) 824-1636 |
| 1649209842 | DR. ELENA STANESCU MD Individual | Anesthesiology (Pain Medicine) | 105 SOUTHPARK BLVD SUITE C-300 ST AUGUSTINE, FL 32086 (904) 808-7246 |
| 1801828553 | DR. JYOTI PATEL MD Individual | Anesthesiology (Pain Medicine) | 105 SOUTHPARK BLVD STE C-300 ST AUGUSTINE, FL 32086 (904) 808-7246 |
| 1467532697 | ST AUGUSTINE MEDICAL EQUIPMENT LLC Organization | Durable Medical Equipment & Medical Supplies | 105 SOUTHPARK BLVD STE A101 ST AUGUSTINE, FL 32086 (904) 829-1799 |
| 1144383746 | OUCH, PA Organization | Specialist | 105 SOUTHPARK BLVD SUITE C 300 ST AUGUSTINE, FL 32086 (904) 808-7246 |
| 1134348352 | CYNTHIA K MATHENA Individual | Occupational Therapist | 105 SOUTHPARK BLVD SUITE B201 SAINT AUGUSTINE, FL 32086 (904) 824-1636 |
| 1194927640 | BRETT CUTLER DPM PA Organization | Podiatrist | 105 SOUTHPARK BLVD SUITE A103 ST AUGUSTINE, FL 32086 (904) 824-0869 |
| 1164676367 | MARGARET E MARTIN ARNP Individual | Nurse Practitioner | 105 SOUTHPARK BLVD SUITE C-300 ST AUGUSTINE, FL 32086 (904) 808-7246 |
| 1215253893 | ST. AUGUSTINE FOOT & ANKLE, INC. Organization | Non-Pharmacy Dispensing Site | 105 SOUTHPARK BLVD STE A103 ST AUGUSTINE, FL 32086 (904) 824-0869 |
| 1164532552 | ALICE G BEARD PA-C Individual | Physician Assistant | 105 SOUTHPARK BLVD A103 ST AUGUSTINE, FL 32086 (904) 342-7765 |
| 1396527990 | HAYLEY MICHELLE WARD ARNP Individual | Nurse Practitioner | 105 SOUTHPARK BLVD ST AUGUSTINE, FL 32086 (904) 217-5283 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073870341, enumerated in the NPI registry as an "organization" on April 11, 2012
The provider is located at 105 Southpark Blvd Suite A103 St Augustine, Fl 32086 and the phone number is (904) 342-7765
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: AvMed. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D2043829 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on April 11, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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