Park Avenue Dermatology PA
Park Avenue Dermatology PA is a Dermatology Physician in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
906 Park AveOrange Park, FL 32073-4120
Phone: (904) 541-0315
Fax: (904) 541-0316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence OS 4926 (FL) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence OS 4926 (FL) |
Record details
| NPI number | 1205871001 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | George Schmieder — President · (904) 541-0315 |
| NPI enumerated | June 17, 2006 |
| Last updated in NPPES | December 13, 2023 |
| Certification date | December 13, 2023 |
| Mailing address | 906 Park Ave, Orange Park, FL 32073-4120 |
Other providers in Orange Park
-
Joan D Oleary MD Pl
1555 Kingsley Ave Ste 401, Orange Park, FL 32073-4560 · (904) 278-3100
-
Abigail M Lowe, DO
2001 Kingsley Ave, Orange Park, FL 32073-5148 · (904) 639-2000
-
N Fred Eaglstein DO PA
2055 Professional Center Dr, Orange Park, FL 32073-4461 · (904) 276-4500
-
Joan Dunstone O Leary, MD
1555 Kingsley Ave Ste 401, Orange Park, FL 32073-9204 · (904) 278-3100