Park Avenue Dermatology PA

NPI #1205871001 in Orange Park, Florida

Provider Information

NPI Number: 1205871001
Entity Type: Organization
Organization Name: Park Avenue Dermatology PA
Primary Specialty: Dermatology
Enumeration Date: Jun 17, 2006
Last Updated: Dec 13, 2023

Practice Location

Address: 906 PARK AVE
City: Orange Park
State: Florida
ZIP Code: 32073-4120
Phone: (904) 541-0315

Authorized Official

Name: GEORGE J SCHMIEDER, D.O.
Title: PRESIDENT
Phone: (904) 541-0315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology	207N00000X	Primary

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