Park Medical Center in Orange Park - Specialist
Park Medical Center - NPI 1629004114
Park Medical Center is a Specialist in Orange Park, Florida. Park Medical Center practices all healthcare services and medical treatments related to Specialist. The NPI Number for Park Medical Center is 1629004114. The last update date is 2015-06-10.
Park Medical Center's current location address is 847 Park Ave, Orange Park, Florida. You can contact this provider via phone number 9042644541 and fax number 9042782709. The mailing address for Park Medical Center is 847 Park Ave, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Park Medical Center |
|---|---|
| Address | 847 Park Ave, Orange Park, Florida |
| Phone Number | 9042644541 |
| Fax Number | 9042782709 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Thompson R William |
| Credentials | M.D. |
| Telephone Number | 9042644541 |
NPI Number Detail
| NPI Number | 1629004114 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2015-06-10 |
Provider Mailing Address Detail
| Address | 847 Park Ave |
|---|---|
| City | Orange Park |
| State | Florida (FL) |
| Post Code | 320734117 |
| Phone Number | 9042644541 |
| Fax Number | 9042782709 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME0012468 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1487621736 | NPI | ||
| 1013985035 | NPI | ||
| 1053388306 | NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Park Medical Center by the Centers for Medicare & Medicaid Services?
The Park Medical Center has been assigned the NPI (National Provider Identifier) 1629004114 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Park Medical Center's facilities are geographically located?
The facilities of Park Medical Center are physically situated at the following location: 847 Park Ave, Orange Park, FL, 320734117.
What is Park Medical Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Park Medical Center's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When did Park Medical Center receive its 1629004114 assignment?
The Park Medical Center was assigned its 1629004114 on 2006-06-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Park Medical Center last refreshed?
The information related to the Park Medical Center, including its address, specialty, and other relevant details, was last updated on 2015-06-10.