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 provides Dermatology Physician services 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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