PARK AVENUE DERMATOLOGY PA

Dermatology Physician · ORANGE PARK, FL

Organization Active NPI 1205871001

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dermatology Physician207N00000XOS 4926FL
MOHS-Micrographic Surgery Physician207ND0101XOS 4926FL

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.