Parkland Dermatology and Cosmetic Surgery

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PARKLAND DERMATOLOGY AND COSMETIC SURGERY

Practice address

4360 N State Road 7
Coconut Creek, FL 33073-3817

Phone

(754) 999-3376

Fax

(833) 279-7072

NPI assigned

Jul 31, 2018

Organization subpart

No

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

Authorized official

Name

Alexis Stephens, DO

Title

Owner

Phone

(754) 999-3376

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1881172906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 N STATE ROAD 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733817",
            "telephone_number": "754-999-3376",
            "fax_number": "833-279-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 N STATE ROAD 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733817",
            "telephone_number": "754-999-3376",
            "fax_number": "833-279-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND DERMATOLOGY AND COSMETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-999-3376",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parkcreek ASC LLC
• Parkcreek Surgery Center LLLP
• Jacob Parke, M.D.
• Arlene Parker, RN
• Parkland Counseling
• Gisela Parra, BCBA
• Nicole Patalano
• Jasmine Patino
• Sandra Payoute
• Peak Wellness Collective LLC

• Dermatology Physician in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.