Individual provider · Type 1 NPI

Jong Ho Park, MD, M.P.H

Vascular & Interventional Radiology Physician · Lakeland, FL

NPI number 1326208034 Active

Practice location

2125 Crystal Grove Dr
Lakeland, FL 33801-6875

Mailing address

9707 63rd Rd Apt 3L
Rego Park, NY 11374-1610

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X254362 (NY)
Vascular & Interventional Radiology Physician Primary 2085R0204XME119926 (FL)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1326208034

Jong Ho Park, MD, M.P.H's National Provider Identifier is 1326208034, issued on Jun 16, 2008. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Lakeland, FL. The record was last updated on Jun 17, 2014.