Park North Dermatology, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PARK NORTH DERMATOLOGY, PA

Practice address

341 N Maitland Ave Ste 210
Maitland, FL 32751-4771

Phone

(407) 603-1748

Fax

(586) 580-4446

NPI assigned

May 31, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Thomas, MD

Title

Owner

Phone

(407) 399-7878

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1598257909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 SAINT DUNSTAN WAY",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924306",
            "telephone_number": "407-399-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N MAITLAND AVE STE 210",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514771",
            "telephone_number": "407-603-1748",
            "fax_number": "586-580-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK NORTH DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-399-7878",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Parchment
• Cheryl Kathleen Parham, P.T.
• Amish M Parikh, M.D.
• Tara Paris
• Brooke Alexandria Parisian, AA
• Park Place Surgery Center L L C
• Teresa Faye Parnell, PSY.D.
• Paul N Passafiume, MD
• Heidi Louise Pastor, CRNA
• Asmita Patel, DO

• Dermatology Physician in Maitland, FL
• Providers in Maitland, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.