Individual
DR. SANG-WOO PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(904) 697-3927
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
244471
NY
208600000X
Surgery Physician
ME128657
FL
2086S0120X
Pediatric Surgery Physician
Primary
ME128657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017809300
—
FL
Enumeration date
12/22/2007
Last updated
07/10/2016
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