PARKS DERMATOLOGY CENTER LLC
NPI 1629063680
Dermatology in Ormond Beach, FL

Active since September 15, 2005CLIA Certified · 6 labs
400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL 32174(386) 677-9044(386) 677-3083 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Parks Dermatology Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARKS DERMATOLOGY CENTER LLC (NPI 1629063680) is a healthcare organization registered as a dermatology in Ormond Beach, Florida and active in the NPI registry since September 2005. The organization holds 6 active CLIA laboratory certificates and lists Jeffrey Dean Parks, President, as its authorized official.

NPPES Registry Identity

NPI1629063680
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePARKS DERMATOLOGY CENTER LLC
Location Address400 LAKEBRIDGE PLAZA DROrmond Beach, FL 32174-5157
Mailing Address400 Lakebridge Plaza DrOrmond Beach, FL 32174-5157 · (386) 677-9044 · Fax (386) 677-3083
Fax(386) 677-3083
Organization SubpartNo
Authorized OfficialJeffrey Dean ParksPresident · (386) 677-9044
Enumeration DateSeptember 15, 2005
Last NPPES UpdateApril 12, 2017
NPI 1629063680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

400 LAKEBRIDGE PLAZA DR, Ormond Beach, FL 32174

Other Identifiers 1

Medicare ID-Type UnspecifiedK0993FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 14D0712932

Parks Dermatology Center LLC · Ormond Beach, FL
Active · expires Jan 8, 2028
CLIA Number14D0712932
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorJeffrey D. Parks
Laboratory Phone(386) 677-9044
Laboratory LocationParks Dermatology Center LLC400 Lakebridge Plaza Dr, Ormond Beach, FL 32174
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2259619

Parks Dermatology Center LLC · Palm Coast, FL
Active · expires May 8, 2028
CLIA Number10D2259619
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorKarthik Krishnamurthy
Laboratory Phone(386) 677-9044
Laboratory LocationParks Dermatology Center LLC33 Old Kings Road North Suite 2, Palm Coast, FL 32137
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D0998635

Parks Dermatology Center LLC · Ormond Beach, FL
Active · expires Apr 21, 2028
CLIA Number10D0998635
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorJeffrey D. Parks
Laboratory Phone(386) 677-9044
Laboratory LocationParks Dermatology Center LLC1385 W Granada Blvd Ste 1, Ormond Beach, FL 32174
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2030639

Parks Dermatology Center LLC · Port Orange, FL
Active · expires Apr 30, 2027
CLIA Number10D2030639
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorJeffrey D. Parks
Laboratory Phone(386) 677-9044
Laboratory LocationParks Dermatology Center LLC1175 Dunlawton Ave Unit 102, Port Orange, FL 32127
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 10D2005542

Parks Dermatology Center LLC · Palm Coast, FL
Active · expires Apr 21, 2027
CLIA Number10D2005542
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorKarthik D. Krishnamurthy
Laboratory Phone(386) 677-9044
Laboratory LocationParks Dermatology Center LLC37 Old Kings Rd N, Palm Coast, FL 32137
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2070751

Parks Dermatology Center LLC · Orange City, FL
Active · expires Oct 13, 2026
CLIA Number10D2070751
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorDr. Jeffrey D. Parks
Laboratory Phone(386) 677-9044
Laboratory LocationParks Dermatology Center LLC2515 Junior St, Orange City, FL 32763
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
400 LAKEBRIDGE PLAZA DR
ORMOND BEACH, FL 32174
Physician Assistant
400 LAKEBRIDGE PLAZA DR
ORMOND BEACH, FL 32174
Dermatology
400 LAKEBRIDGE PLAZA DR
ORMOND BEACH, FL 32174
Physician Assistant
400 LAKEBRIDGE PLAZA DR
ORMOND BEACH, FL 32174
Dermatology
400 LAKEBRIDGE PLAZA DR
ORMOND BEACH, FL 32174
Dermatology
400 LAKEBRIDGE PLAZA DR
ORMOND BEACH, FL 32174
Nurse Practitioner
400 LAKEBRIDGE PLAZA DR
ORMOND BEACH, FL 32174
Physician Assistant
400 LAKEBRIDGE PLAZA DR
ORMOND BEACH, FL 32174

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Parks Dermatology Center LLC's NPI number?

The NPI number for Parks Dermatology Center LLC is 1629063680. It was assigned to this organization in the NPPES registry on September 15, 2005.

Where is Parks Dermatology Center LLC located?

Parks Dermatology Center LLC is located at 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174. The listed phone number is (386) 677-9044.

What is Parks Dermatology Center LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Parks Dermatology Center LLC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Parks Dermatology Center LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Parks Dermatology Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Parks Dermatology Center LLC was last updated on April 12, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.