Dr. Jeffrey Dean Parks
Dermatologist MOHS-Micrographic Surgeon
400 Lakebridge Plaza Dr
Ormond Beach
, Florida 32174-5157
Dr. Jeffrey Dean Parks
Dermatologist MOHS-Micrographic Surgeon
400 Lakebridge Plaza Dr
Ormond Beach
, Florida 32174-5157
(386) 677-3083
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Dean Parks
- 400 Lakebridge Plaza Dr
- Ormond Beach, FL
- Zip : 32174-5157
- Fax : (386) 677-3083
- Phone : (386) 677-9044
Second Address
- Dr. Jeffrey Dean Parks
- 400 Lakebridge Plaza Dr
- Ormond Beach, FL
- Zip : 32174-5157
- Fax : (386) 677-3083
- Phone : (386) 677-9044
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | ME67417 | FL |
| N | 207ND0101X | MOHS-Micrographic Surgeon | ME67417 | FL |
National Provider Identifier
| NPI | 1336134360 |
|---|---|
| Provider Name | Dr. Jeffrey Dean Parks |
| First Address | Ormond Beach, FL 32174-5157 |
| Second Address | Ormond Beach, FL 32174-5157 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2005 |
| Last Update Date | 20/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G45925 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.