Park North Dermatology, PA

NPI #1598257909 in Maitland, Florida

Provider Information

NPI Number: 1598257909
Entity Type: Organization
Organization Name: Park North Dermatology, PA
Primary Specialty: Dermatology
Enumeration Date: May 31, 2018
Last Updated: Nov 7, 2018

Practice Location

Address: 341 N MAITLAND AVE STE 210
City: Maitland
State: Florida
ZIP Code: 32751-4771
Phone: (407) 603-1748

Authorized Official

Name: BRIAN THOMAS, MD
Title: OWNER
Phone: (407) 399-7878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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