Individual
CHONGSOON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W AIRPORT BLVD, SANFORD, FL 32773-5489
(407) 665-3452
(407) 665-3034
Mailing address
400 W AIRPORT BLVD, SANFORD, FL 32773-5489
(407) 665-3452
(407) 665-3034
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN9165349
FL
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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