Individual
DR. EDWIN Y. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 HOVEY RD, PENSACOLA, FL 32508-1044
(850) 452-2839
(850) 452-3842
Mailing address
220 HOVEY RD, PENSACOLA, FL 32508-1044
(850) 452-2839
(850) 452-3842
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
0101056081
VA
2084N0400X
Neurology Physician
Primary
0101056081
VA
Other
Enumeration date
04/25/2006
Last updated
07/09/2020
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