NPI 1013777903

Jacob Park, MD

Practitioner Student in an Organized Health Care Education/Training Program Tallahassee, FL

Practice location

Address: 2626 Capital Medical Blvd, Tallahassee, FL 32308-4402
Phone: (850) 325-5931

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Florida →

Registry record

NPI: 1013777903
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2024
Record last updated: 15 Mar 2025

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.