Individual
DR. JEFFREY DEAN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL 32174-5157
(386) 677-9044
(386) 677-3083
Mailing address
400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL 32174-5157
(386) 677-9044
(386) 677-3083
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME67417
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME67417
FL
Other
Enumeration date
09/15/2005
Last updated
10/20/2020
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