Individual
DR. DONALD H. PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10000 BAY PINES BLVD (111), BAY PINES VAHCS, BAY PINES, FL 33744
(727) 398-6661
Mailing address
10000 BAY PINES BLVD UNIT 111, BAY PINES VAHCS, BAY PINES, FL 33744-8202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0043713
MD
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D0043713
MD
Other
Enumeration date
05/17/2006
Last updated
01/03/2013
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