Individual
ANGELA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3302 BONITA BEACH RD STE 170, BONITA SPRINGS, FL 34134-4217
(239) 624-1050
(239) 624-1051
Mailing address
3302 BONITA BEACH RD STE 170, BONITA SPRINGS, FL 34134-4217
(239) 624-1050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS023299
PA
207R00000X
Internal Medicine Physician
Primary
OS21142
FL
207R00000X
Internal Medicine Physician
R-11683
IA
Other
Enumeration date
06/20/2019
Last updated
08/21/2024
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