Atlantic Boulevard Dermatology – Dermatology Physician, NPI 1609975374

Atlantic Boulevard Dermatology is a healthcare provider. based in Atlantic beach, Florida. specializing in Dermatology Physician. The organization holds a License No. ME63627 (FL). The NPI Number for Atlantic Boulevard Dermatology is 1609975374

Main info

Organization
Name
Atlantic Boulevard Dermatology
NPI
1609975374
Phone
(904) 247-6461
Address
2295 OCEANSIDE CT
Authorized Official
DR. JOHN MORELLO PRESIDENT M.D.
Enumeration Date
21 September 2006
Last Update Date
7 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Atlantic Boulevard Dermatology

  • 2295, Oceanside Court, Oceanside, Atlantic Beach, Duval County, Florida, 32233, United States

    ATLANTIC BEACH, FL 322335957

    Phone: (904) 247-6461

    Fax: (904) 247-2686

    Type: Mailing

  • 13111, Atlantic Boulevard, Kensington, Jacksonville, Duval County, Florida, 32225, United States

    SUITE #4

    JACKSONVILLE, FL 32225

    Phone: (904) 221-3100

    Fax: (904) 221-3107

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32233)

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Reviews

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Frequently asked questions

What unique ID ties claims to Atlantic Boulevard Dermatology?
NPI 1609975374 is assigned to Atlantic Boulevard Dermatology under the national enumeration system.
Is Atlantic Boulevard Dermatology active in the national directory?
Atlantic Boulevard Dermatology's public NPI profile is in an active state.
What kind of provider is Atlantic Boulevard Dermatology?
The page reflects Dermatology Physician for Atlantic Boulevard Dermatology. Clinical services aligned with this taxonomy classification.
What location metadata exists for Atlantic Boulevard Dermatology?
The page summarizes Atlantic Beach, Florida for Atlantic Boulevard Dermatology; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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