Organization
PARKS DERMATOLOGY CENTER LLC
Active
Organization
PARKS DERMATOLOGY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DEAN PARKS M.D. (PRESIDENT)
(386) 677-9044
Entity
Organization
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
—
—
Other
Enumeration date
09/15/2005
Last updated
04/12/2017
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