Individual
DAVID MANSUG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OMD
Contact information
Practice address
1514 W MAIN ST, LEESBURG, FL 34748-4857
(352) 759-8275
(352) 234-3625
Mailing address
1514 W MAIN ST, LEESBURG, FL 34748-4857
(352) 759-8275
(352) 234-3625
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093363574
ACUPUNCTURE PHYSICIAN
FL
Enumeration date
08/28/2019
Last updated
09/23/2024
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