Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Parks Dermatology Center LLC

Organization Dermatology Physician · NPI 1629063680

Parks Dermatology Center LLC is a Dermatology Physician in Ormond Beach, Florida. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 Lakebridge Plaza Dr
Ormond Beach, FL 32174-5157
Phone: (386) 677-9044
Fax: (386) 677-3083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1629063680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Parks — President · (386) 677-9044
NPI enumeratedSeptember 15, 2005
Last updated in NPPESApril 12, 2017
Mailing address400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157

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