Dermatology, MOHS-Micrographic Surgery
BOLD CITY DERMATOLOGY LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1538761655 · enumerated 2020-11-13 · record updated 2021-01-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: BISHR AL DABAGH MD, Owner · (704) 230-1302
Addresses and phones
- Practice location 316 PASEO REYES DR, ST AUGUSTINE, FL, 32095-8464 (904) 544-5800 Fax (904) 544-5800 Google Maps Apple Maps OpenStreetMap
- Mailing address 316 PASEO REYES DR, ST AUGUSTINE, FL, 32095-8464 (904) 544-5800 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X
- Dermatology, Procedural Dermatology 207NS0135X
- Dermatology, Pediatric Dermatology 207NP0225X
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · Primary
In this directory
FL St. Johns County St Augustine Dermatology, MOHS-Micrographic Surgery
Locations and evidence
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Practice location
ST AUGUSTINE, FL, 320958464
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.