Individual
TERRENCE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5401 S CONGRESS AVE STE 201, ATLANTIS, FL 33462-6637
(561) 995-6971
Mailing address
5301 S CONGRESS AVE STE 201, ATLANTIS, FL 33462-1149
(551) 666-8332
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME161166
FL
Other
Enumeration date
05/04/2018
Last updated
10/04/2023
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