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1629063680
PARKS DERMATOLOGY CENTER LLC
ORMOND BEACH, FL
NPI
1629063680
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Entity Type
Organization
Authorized Contact
JEFFREY DEAN PARKS
President
386-677-9044
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2005-09-15
Last Update Date
2017-04-12
Business Address
PARKS DERMATOLOGY CENTER LLC
400 LAKEBRIDGE PLAZA DR
ORMOND BEACH, FL 32174-5157
Phone number: 386-677-9044
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Mailing Address
PARKS DERMATOLOGY CENTER LLC
400 LAKEBRIDGE PLAZA DR
ORMOND BEACH, FL 32174-5157
Phone number: 386-677-9044
Copy
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