Individual
MR. JOEL A PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1821 DORA AVE, APARTMENT 244, TAVARES, FL 32778-5765
(352) 508-5089
(352) 435-4605
Mailing address
1821 DORA AVE, APARTMENT 244, TAVARES, FL 32778-5765
(352) 508-5089
(352) 435-4605
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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