Individual provider · Type 1 NPI

Michelle Park

Pediatrics Physician · Jacksonville, FL

NPI number 1073254207 Active

Practice location

6015 118th St
Jacksonville, FL 32244-3703

Call (904) 633-0610 Map

Fax (904) 633-0611

Mailing address

PO Box 4408
Jacksonville, FL 32231-4008

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XOS22077 (FL)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1073254207

Michelle Park's National Provider Identifier is 1073254207, issued on Apr 3, 2022. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 6, 2026.