Yong Park MD

NPI 1205913761 - General Practice - 208D00000X

NPI Details
NPI 1205913761
Gender Male
Enumeration Date 11/01/2006
Last Updated 01/03/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
506 4TH ST NW
JASPER FL, 32052-6603, US
Phone (386) 792-7200
Fax (386) 792-2084
Business Location
506 4TH ST NW
JASPER FL, 32052-6603, US
Phone (386) 792-7200
Fax (386) 792-2084
Toxanomy
Taxonomy Code 208D00000X
License State Florida
License Number LL528
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According to our database, Dr. Yong Park MD NPI is 1205913761, taxonomy code is 208D00000X and license number is LL528, license state is located at Florida. Yong Park MD physically located at 506 4th St Nw, Jasper FL, 32052-6603. NPI Number Yong Park MD has the Individual type.

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1205913761 NPI number is provided on an as is basis without warranty of any kind. 1205913761 is maintained by the National Plan & Provider Enumeration System. The contents of Yong Park MD are for informational purposes only.