Individual
DR. JOSEPH WILLIAM PARKS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD STE 2391, SUITE C50, JACKSONVILLE, FL 32258-7418
(904) 262-3372
(904) 262-3306
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME 116390
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2007
Last updated
01/29/2014
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