Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Park Avenue Dermatology PA

Organization Dermatology Physician · NPI 1205871001

Park Avenue Dermatology PA provides Dermatology Physician services 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.

See every abbreviation used in this directory →

Practice location Address checks out

906 Park Ave
Orange Park, FL 32073-4120
Phone: (904) 541-0315
Fax: (904) 541-0316
Show map & directions

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 number1205871001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Schmieder — President · (904) 541-0315
NPI enumeratedJune 17, 2006
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address906 Park Ave, Orange Park, FL 32073-4120

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