Dermatology and Laser Center – Dermatology Physician, NPI 1679574164

Dermatology and Laser Center is a healthcare provider. based in Orange park, Florida. specializing in Dermatology Physician. The NPI Number for Dermatology and Laser Center is 1679574164

Main info

Organization
Name
Dermatology and Laser Center
NPI
1679574164
Phone
(904) 276-4500
Address
2055 PROFESSIONAL CENTER DR
Authorized Official
N FRED EAGLSTEIN PHYSICIAN/OWNER DO
Enumeration Date
9 August 2005
Last Update Date
10 June 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Dermatology and Laser Center

  • 2055 PROFESSIONAL CENTER DR

    ORANGE PARK, FL 320734461

    Phone: (904) 276-4500

    Fax: (904) 276-4160

    Mailing address matches the actual address.

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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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 32073)

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Frequently asked questions

Does Dermatology and Laser Center have a public NPI I can cite?
Public records show Dermatology and Laser Center under NPI 1679574164.
Is Dermatology and Laser Center currently accepting referrals based on NPI status?
Registry metadata lists Dermatology and Laser Center as active.
What services align with Dermatology and Laser Center's listing?
Dermatology and Laser Center's public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Dermatology and Laser Center in Orange Park, Florida?
For routing, start with Orange Park, Florida for Dermatology and Laser Center, then verify phone and hours locally.
Can I export Dermatology and Laser Center's record?
You can download the official NPPES record; we summarize key fields for readability.

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