| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1629063680 | PARKS DERMATOLOGY CENTER LLC | 400 LAKEBRIDGE PLAZA DR | ORMOND BEACH | FL | 321745157 | |||
| 1265887152 | BERNETT | COURTNEY | NICOLE | 400 LAKEBRIDGE PLAZA DR | ORMOND BEACH | FL | 321745157 | |
| 1346462181 | COPPOLA | JOHN | CHRISTOPHER | 400 LAKEBRIDGE PLAZA DR | ORMOND BEACH | FL | 321745157 | |
| 1871588830 | CRAWFORD | HEATHER | 400 LAKEBRIDGE PLAZA DR | ORMOND BEACH | FL | 321745157 | ||
| 1841540283 | DERWICK | RACHEL | LEIGH | 400 LAKEBRIDGE PLAZA DR | ORMOND BEACH | FL | 321745157 | |
| 1598879017 | DOYLE | REBEKAH | ELISABETH | 400 LAKEBRIDGE PLAZA DR | ORMOND BEACH | FL | 321745157 | |
| 1730375700 | FOLEY | MICHELLE | WHIDDON | 400 LAKEBRIDGE PLAZA DR | ORMOND BEACH | FL | 321745157 | |
| 1770726291 | KRISHNAMURTHY | KARTHIK | 37 OLD KINGS RD N | PALM COAST | FL | 321378227 | ||
| 1942434964 | MACH | LINDSAY | 400 LAKEBRIDGE PLAZA DR | ORMOND BEACH | FL | 321745157 | ||
| 1336134360 | PARKS | JEFFREY | DEAN | 400 LAKEBRIDGE PLAZA DR | ORMOND BEACH | FL | 321745157 | |
| 1154318137 | PIERCE | MEG | 400 LAKEBRIDGE PLAZA DR | ORMOND BEACH | FL | 321745157 | ||
| 1881132249 | SHIBLA | TRACY | 400 LAKEBRIDGE PLAZA DR | ORMOND BEACH | FL | 321745157 |