Individual
DR. YON KYU PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3402 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6214
(813) 875-3950
(813) 872-2741
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME70095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260435300
—
FL
01
—
41655
BCBS
FL
01
—
P00679543
RR MEDICARE
FL
Enumeration date
06/27/2006
Last updated
04/06/2026
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