| NPI | 1043309909 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-10-11 |
| Last Updated | 2024-02-22 |
| Mailing Address | 10175 Fortune Pkwy, Suite 1203 Jacksonville, FL 32256-3519 United States Phone: (904) 519-5292 | Fax: (904) 519-5296 📍 View Map |
| Primary Practice Address | 10175 Fortune Pkwy Unit 1203 Jacksonville, FL 32256-6758 United States Phone: (904) 519-5292 | Fax: (904) 519-5296 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207N00000X – Dermatology | FL | ME82288 |
| Yes | 207NP0225X – Dermatology, Pediatric Dermatology | FL | ME 82288 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1043309909
Pearl Chu Kwong MD PHD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1043309909. The primary specialty listed is Dermatology, Pediatric Dermatology. The provider is located in Jacksonville, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043309909?
NPI 1043309909 belongs to Pearl Chu Kwong MD PHD, a Dermatology, Pediatric Dermatology in Jacksonville, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043309909 active?
The current status of NPI 1043309909 in the NPPES registry is Active. The record was last updated on 2024-02-22.
What specialty is NPI 1043309909?
NPI 1043309909 is classified under the taxonomy Dermatology, Pediatric Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043309909?
You can verify NPI 1043309909 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043309909?
The primary practice address on file for NPI 1043309909 is 10175 Fortune Pkwy Unit 1203, Jacksonville, FL 32256-6758. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043309909 issued?
NPI 1043309909 was first issued (enumerated) on 2006-10-11. The NPPES record was last updated on 2024-02-22.
Practice Location Map
Pearl Chu Kwong is located at 10175 Fortune Pkwy Unit 1203, Jacksonville, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Pearl Chu Kwong. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1043309909. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology | ME82288 | FL |
| Dermatology, Pediatric Dermatology | ME 82288 | FL |