Organization · Type 2 NPI
Park Medical Center
Specialist · Orange Park, FL
NPI number
1629004114
Active
Practice location
847 Park Ave
Orange Park, FL 32073-4117
Fax (904) 278-2709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | ME0012468 (FL) |
Specialist: 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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About NPI 1629004114
Park Medical Center's National Provider Identifier is 1629004114, issued on Jun 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Orange Park, FL. The record was last updated on Jun 10, 2015.