Organization
PARK NORTH DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN THOMAS MD (OWNER)
(407) 399-7878
Entity
Organization
Contact information
Practice address
341 N MAITLAND AVE STE 210, MAITLAND, FL 32751-4771
(407) 603-1748
(586) 580-4446
Mailing address
343 SAINT DUNSTAN WAY, WINTER PARK, FL 32792-4306
(407) 399-7878
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
11/07/2018
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