Parks Dermatology Center LLC
Parks Dermatology Center LLC is a healthcare organization registered as Dermatology Physician in Ormond Beach, FL, holding Type 2 (organization) NPI 1629063680 since 2005. The authorized official on file is Jeffrey Parks, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629063680 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Parks Dermatology Center LLC |
| Practice address | 400 LAKEBRIDGE PLAZA DR, Ormond Beach, FL, 32174 |
| Phone | 3866779044 |
| Fax | 3866773083 |
| Enumeration date | 2005-09-15 |
| Last updated in NPPES | 2017-04-12 |
Authorized official
| Name | Jeffrey Parks |
|---|---|
| Title | President |
| Phone | 3866779044 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Primary | — | — |
Copy-ready billing details
Provider: Parks Dermatology Center LLC NPI: 1629063680 Taxonomy: 207N00000X (Dermatology Physician) Address: 400 LAKEBRIDGE PLAZA DR, Ormond Beach, FL, 32174
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114912466 | Michael Suah | Individual | Dermatology Physician | Ormond Beach, FL |
| 1336134360 | Jeffrey Parks | Individual | Dermatology Physician | Ormond Beach, FL |
| 1154318137 | Meg Pierce | Individual | Physician Assistant | Ormond Beach, FL |
| 1598879017 | Rebekah Doyle | Individual | Physician Assistant | Ormond Beach, FL |
| 1346462181 | John Coppola | Individual | Dermatology Physician | Ormond Beach, FL |
| 1730375700 | Michelle Foley | Individual | Dermatology Physician | Ormond Beach, FL |
| 1942434964 | Lindsay Mach | Individual | Physician Assistant | Ormond Beach, FL |
| 1841540283 | Rachel Derwick | Individual | Nurse Practitioner | Ormond Beach, FL |
Verify this record
Cross-check NPI 1629063680 against the authoritative CMS record: view Parks Dermatology Center LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Parks Dermatology Center LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-04-12.