NPI 1003158767

Minnsun Koh Park, MD

Practitioner Cardiovascular Disease Physician Jacksonville, FL

Practice location

Address: 3900 University Blvd S, Jacksonville, FL 32216-4331
Phone: (904) 222-6656

Registered specialties

Cardiovascular Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence ME146480 (FL)

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Registry record

NPI: 1003158767
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2013
Record last updated: 31 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.