Individual
DR. MINNSUN KOH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3900 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4331
(904) 222-6656
Mailing address
3900 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4331
(904) 222-6656
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME146480
FL
Other
Enumeration date
03/20/2013
Last updated
07/31/2020
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