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
Fax: (904) 541-0316
Website:
Authorized official contact:
Name: Schmieder, George J Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #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 last year

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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