Active NPI 1619993375 Individual Practitioner Male Practitioner

Dr. Bruce Henry Paley , DO

Dermatology • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Paley, DO is a certified Dermatology practicing in St Augustine, FL. With approximately 39 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 1987, Dr. Paley delivers high-quality medical care to the local community at 1851 OLD MOULTRIE RD.

Dr. Paley accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1851 Old Moultrie Rd
Suite B

St Augustine, FL 320844168

Telephone 9048248088

Fax 9048264105

Associated Practice Facility / Clinic

🏢 James F Connor Pa Facility NPI 1841211018

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in St Augustine, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +18.8 yrs vs City Avg

City Avg: 20.2 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

9 Specialists

Practicing in St Augustine, FL (1273 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Paley (39 Years) 39 Yrs

St Augustine Specialty Average (20.2 Years) 20.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,371	443	$21.00	$6.22
17000 Destruction of skin growth	942	531	$90.00	$62.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	879	515	$65.00	$54.65
11102 Tangential biopsy of single skin lesion	137	123	$130.00	$95.26
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	105	67	$268.00	$117.57
99202 New patient office or other outpatient visit, typically 20 minutes	100	100	$90.00	$69.87
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	94	60	$260.00	$248.57
17110 Destruction of up to 14 skin growths	84	74	$120.00	$107.94
11103 Biopsy of related skin growth, each additional growth	55	41	$75.00	$47.75
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	52	43	$310.00	$284.24
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	46	37	$307.00	$157.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$125.00	$108.90
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	44	39	$280.00	$268.89
11104 Punch biopsy, first skin growth	42	42	$150.00	$118.70
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$100.00	$88.28
17004 Destruction of precancer skin growth, 15 or more growths	33	17	$240.00	$159.92
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	21	$303.00	$145.78
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	16	$200.00	$165.26
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	13	$280.00	$135.10
11105 Punch biopsy, each additional skin growth	13	11	$80.00	$56.62
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$281.00	$114.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,803	494	$21.00	$6.36
17000 Destruction of skin growth	1,097	591	$89.94	$63.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	912	542	$65.00	$55.24
11102 Tangential biopsy of single skin lesion	163	145	$130.00	$97.85
99202 New patient office or other outpatient visit, typically 20 minutes	137	137	$90.00	$70.78
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	131	87	$268.00	$122.66
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	112	83	$260.00	$250.70
17110 Destruction of up to 14 skin growths	71	68	$120.00	$109.67
11103 Biopsy of related skin growth, each additional growth	64	56	$75.00	$48.25
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	58	44	$310.00	$293.78
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	58	48	$307.00	$151.63
11104 Punch biopsy, first skin growth	51	50	$150.00	$121.93
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	50	40	$280.00	$275.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$125.00	$110.91
17004 Destruction of precancer skin growth, 15 or more growths	34	20	$240.00	$165.02
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	34	27	$280.00	$141.80
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	32	26	$303.00	$158.47
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$100.00	$88.54
11105 Punch biopsy, each additional skin growth	21	16	$80.00	$57.74
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	18	15	$255.00	$251.25
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$200.00	$158.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,963	511	$21.00	$6.59
17000 Destruction of skin growth	1,061	605	$90.00	$65.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	801	535	$61.57	$56.71
11102 Tangential biopsy of single skin lesion	168	157	$130.00	$102.17
99202 New patient office or other outpatient visit, typically 20 minutes	138	138	$90.00	$72.89
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	134	90	$268.00	$128.61
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	123	92	$260.00	$260.14
11103 Biopsy of related skin growth, each additional growth	87	70	$75.00	$51.17
17110 Destruction of up to 14 skin growths	64	59	$120.00	$111.30
11104 Punch biopsy, first skin growth	50	49	$150.00	$127.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$125.00	$113.62
17004 Destruction of precancer skin growth, 15 or more growths	41	30	$240.00	$167.90
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	40	39	$280.00	$281.11
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	38	37	$307.00	$185.56
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	32	28	$310.00	$300.78
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	24	23	$280.00	$127.13
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	18	16	$281.00	$125.79
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$95.59	$91.29
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	15	14	$255.00	$256.04
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	11	$303.00	$163.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,827	597	$21.00	$6.37
17000 Destruction of skin growth	1,251	693	$90.00	$64.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	914	614	$59.39	$55.91
11102 Tangential biopsy of single skin lesion	238	205	$129.08	$102.89
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	149	105	$260.00	$257.88
11103 Biopsy of related skin growth, each additional growth	147	110	$74.25	$52.57
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	141	100	$268.09	$127.10
99202 New patient office or other outpatient visit, typically 20 minutes	110	110	$89.55	$73.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$122.88	$113.78
17110 Destruction of up to 14 skin growths	82	71	$120.00	$112.61
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	77	68	$280.00	$280.22
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	74	65	$307.00	$165.94
11104 Punch biopsy, first skin growth	58	54	$148.10	$129.82
99213 Established patient office or other outpatient visit, typically 15 minutes	45	45	$93.00	$90.94
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	39	35	$200.00	$174.91
17004 Destruction of precancer skin growth, 15 or more growths	37	28	$236.35	$165.49
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	35	29	$280.00	$136.43
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	26	$310.00	$304.72
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	26	25	$281.00	$135.28
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	16	15	$252.00	$131.73
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	14	$303.00	$160.47
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	15	15	$255.00	$257.79
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$212.00	$183.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,539	559	$21.00	$5.92
17000 Destruction of skin growth	1,151	643	$90.00	$63.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	901	575	$55.00	$45.65
11102 Tangential biopsy of single skin lesion	254	222	$120.00	$98.85
11103 Biopsy of related skin growth, each additional growth	156	114	$65.00	$52.62
99202 New patient office or other outpatient visit, typically 20 minutes	140	140	$85.00	$76.08
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	132	91	$268.00	$132.43
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	119	86	$260.00	$241.91
17110 Destruction of up to 14 skin growths	93	84	$120.00	$111.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$115.00	$109.14
11104 Punch biopsy, first skin growth	56	54	$140.00	$125.99
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	55	49	$280.00	$272.70
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	53	44	$307.00	$171.07
17004 Destruction of precancer skin growth, 15 or more growths	48	38	$225.00	$158.60
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	46	37	$310.00	$297.88
99213 Established patient office or other outpatient visit, typically 15 minutes	38	36	$82.76	$73.93
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	37	33	$280.00	$237.96
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	22	$200.00	$166.10
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	21	$303.00	$196.87
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	24	22	$255.00	$154.92
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	19	19	$281.00	$133.77
11105 Punch biopsy, each additional skin growth	19	16	$70.00	$60.99
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	12	12	$252.00	$116.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	6,336	855	$17.70	$5.62
17000 Destruction of skin growth	1,728	1,018	$92.22	$62.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	953	650	$55.86	$44.45
11102 Tangential biopsy of single skin lesion	423	362	$126.53	$96.97
99213 Established patient office or other outpatient visit, typically 15 minutes	357	278	$108.88	$73.19
99202 New patient office or other outpatient visit, typically 20 minutes	229	229	$86.04	$75.34
11103 Biopsy of related skin growth, each additional growth	196	144	$67.74	$52.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	143	$163.56	$107.50
17110 Destruction of up to 14 skin growths	141	116	$134.64	$108.63
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	114	97	$281.35	$225.93
11104 Punch biopsy, first skin growth	105	100	$148.27	$120.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$116.89	$106.41
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	91	75	$308.17	$264.38
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	80	69	$278.46	$133.34
17004 Destruction of precancer skin growth, 15 or more growths	56	41	$226.54	$148.84
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	49	46	$331.98	$253.90
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	39	$218.53	$155.62
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	41	41	$282.10	$155.21
11105 Punch biopsy, each additional skin growth	40	30	$73.23	$60.30
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	28	$312.20	$281.72
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	27	25	$292.23	$233.25
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	16	14	$360.00	$322.02
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	15	13	$352.53	$292.19
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$281.00	$156.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	7,100	985	$17.34	$5.28
17000 Destruction of skin growth	1,919	1,183	$92.91	$61.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,176	827	$56.77	$43.31
11100 Biopsy of single growth of skin and/or tissue	552	463	$128.11	$103.61
99213 Established patient office or other outpatient visit, typically 15 minutes	444	323	$108.64	$72.14
99202 New patient office or other outpatient visit, typically 20 minutes	354	354	$91.17	$74.03
11101 Biopsy of each additional growth of skin and/or tissue	309	191	$57.55	$32.63
17110 Destruction of up to 14 skin growths	256	217	$135.58	$109.99
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	116	96	$287.59	$225.15
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	91	77	$307.00	$264.85
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	90	74	$336.02	$264.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$124.21	$107.61
17004 Destruction of precancer skin growth, 15 or more growths	67	50	$222.84	$143.89
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	43	39	$250.00	$115.57
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	32	$215.64	$164.24
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	34	29	$271.00	$143.73
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	27	27	$350.58	$302.24
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	23	$295.34	$269.47
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	18	$316.50	$250.21
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	21	16	$361.30	$315.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$162.07	$106.71
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	17	16	$360.00	$308.05
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	15	$222.43	$176.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	8,008	1,102	$17.97	$5.61
17000 Destruction of skin growth	2,214	1,310	$98.38	$62.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,571	1,092	$61.69	$42.83
11100 Biopsy of single growth of skin and/or tissue	534	473	$127.43	$101.24
99202 New patient office or other outpatient visit, typically 20 minutes	449	449	$87.45	$73.55
11101 Biopsy of each additional growth of skin and/or tissue	272	189	$59.74	$32.86
17110 Destruction of up to 14 skin growths	242	204	$134.03	$108.20
99213 Established patient office or other outpatient visit, typically 15 minutes	151	150	$105.87	$71.66
88305 Pathology examination of tissue using a microscope, intermediate complexity	149	110	$42.92	$28.32
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	127	106	$329.98	$259.16
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	108	92	$323.67	$259.07
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	103	91	$299.29	$225.84
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	52	44	$216.87	$149.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$123.96	$107.55
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	38	35	$293.58	$126.68
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	38	35	$349.76	$300.28
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	38	34	$310.00	$248.41
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	37	37	$325.89	$272.90
17004 Destruction of precancer skin growth, 15 or more growths	35	27	$228.47	$148.78
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	31	31	$300.13	$156.67
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	29	26	$347.36	$314.51
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	26	25	$370.00	$319.89
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	16	$237.53	$186.50

Medical Specialties & State Licenses

CMS Verified: 2020-03-11

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL OS5622

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

024544400 (FL)

Medicaid State Provider ID

317938300 (FL)

Commercial Insurance / Payer ID Blue Cross

80532 (FL)

Commercial Insurance / Payer ID Aetna

0898894 (FL)

Commercial Insurance / Payer ID Aetna

4394237

Commercial Insurance / Payer ID Avmed

101894

Commercial Insurance / Payer ID Blue Cross Blue Shield

80532

Commercial Insurance / Payer ID Humana

593157956

Commercial Insurance / Payer ID United Healthcare

593157956

Commercial Insurance / Payer ID Cigna

0709348001

Secondary Practice Locations

205 Zeagler Dr Ste 202

Palatka, FL 321773860

Phone: 3863253115

1542 Kingsley Ave Ste 146

Orange Park, FL 320734547

Phone: 9048248088

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Warren Feldman , MD

Family Medicine

NPI 1013141316

Doctor of Medicine (M.D.)

Christy Chong , ARNP

Nurse Practitioner - Family

NPI 1104271444

Advanced Registered Nurse Practitioner

Jeremy Alquizar

Nurse Practitioner - Primary Care

NPI 1104777598

Dr. James Connor , DO

Family Medicine

NPI 1245250919

Doctor of Osteopathic Medicine (D.O.)

Dr. Jennifer Seda Ramirez , MD

General Practice

NPI 1912971102

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1851 OLD MOULTRIE RD, SUITE B, ST AUGUSTINE, FL 320844168 (Tel: 9048248088)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1851 OLD MOULTRIE RD, SUITE B, ST AUGUSTINE, FL 320844168 (Tel: 9048248088)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as BRUCE PALEY, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dermatology (License #OS5622 in FL)

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Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619993375

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 14, 2006

Last Update: March 11, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1851 Old Moultrie Rd, Suite B

St Augustine, FL 320844168

Phone: 9048248088

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.