Organization
PARK AVENUE DERMATOLOGY PA
Active
Organization
PARK AVENUE DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE J SCHMIEDER D.O. (PRESIDENT)
(904) 541-0315
Entity
Organization
Contact information
Practice address
906 PARK AVE, ORANGE PARK, FL 32073-4120
(904) 541-0315
(904) 541-0316
Mailing address
906 PARK AVE, ORANGE PARK, FL 32073-4120
(904) 541-0315
(904) 541-0316
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS 4926
FL
207ND0101X
MOHS-Micrographic Surgery Physician
OS 4926
FL
Other
Enumeration date
06/17/2006
Last updated
12/13/2023
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