Organization
CHANUN PARK DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANUN DUSTIN PARK D.O. (PRESIDENT)
(239) 369-4155
Entity
Organization
Contact information
Practice address
1220 BUSINESS WAY, UNIT 1, LEHIGH ACRES, FL 33936-6007
(239) 369-4155
(239) 369-1950
Mailing address
1220 BUSINESS WAY, UNIT 1, LEHIGH ACRES, FL 33936-6007
(239) 369-4155
(239) 369-1950
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OS8128
FL
Other
Enumeration date
09/17/2008
Last updated
11/24/2008
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