Kwang Se Park in Jacksonville - Family Medicine

Kwang Se Park - NPI 1396836847

Kwang Se Park is a Family Medicine in Jacksonville, Florida. Kwang Se Park practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kwang Se Park is 1396836847. The last update date is 2007-07-08.

Kwang Se Park's current location address is 7308 N Main St, Jacksonville, Florida. You can contact this provider via phone number 9047652475 and fax number 9047649476. The mailing address for Kwang Se Park is 7308 N Main St, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kwang Se Park
Address 7308 N Main St, Jacksonville, Florida
Phone Number 9047652475
Fax Number 9047649476
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1396836847
Provider Enumeration Date 2006-09-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7308 N Main St
City Jacksonville
State Florida (FL)
Post Code 322084124
Phone Number 9047652475
Fax Number 9047649476

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No FL27618
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Kwang Se Park

What is the unique 10-digit identifier code assigned to Kwang Se Park by the Centers for Medicare & Medicaid Services?

The Kwang Se Park has been issued the NPI (National Provider Identifier) 1396836847 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Kwang Se Park's physical address?

The Kwang Se Park is physically located at 7308 N Main St, in the city of Jacksonville, FL, with the postal code 322084124.

What is Kwang Se Park's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kwang Se Park is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1396836847 to Kwang Se Park?

The Kwang Se Park received its 1396836847 assignment from the Centers for Medicare & Medicaid Services on 2006-09-28.

As of what date was the information pertaining to Kwang Se Park, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kwang Se Park, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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