Park Avenue Dermatology Pa
LBN: Park Avenue Dermatology Pa
Park Avenue Dermatology Pa is an health care organization with primary practice located at 906 Park Ave , Orange Park FL 32073-4120. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Park Avenue Dermatology Pa can be contacted via phone (904) 541-0315, or through Schmieder, George J via phone (904) 541-0315.
Contact Information
Primary practice address
906 Park Ave
Orange Park FL 32073-4120
Phone: (904) 541-0315
Fax: (904) 541-0316
Website:
Authorized official contact:
Name: Schmieder, George J Doctor of Osteopathy (DO)
Phone: (904) 541-0315
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS 4926 | Florida |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | OS 4926 | Florida |
Profile Details
| NPI number | 1205871001 |
|---|---|
| LBN Legal business name | Park Avenue Dermatology Pa |
| DBA Doing business as | |
| Authorized official | Schmieder, George J Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Dec 13th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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