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DR. KWANG SE PARK M.D.
NPI 1396836847
Family Medicine in Jacksonville, FL

Active since September 28, 2006
7308 N MAIN ST, JACKSONVILLE, FL 32208(904) 765-2475(904) 764-9476 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kwang Se Park M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KWANG SE PARK M.D. (NPI 1396836847) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (FL27618) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1396836847
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KWANG SE PARKCredential: M.D.
Location Address7308 N MAIN STJacksonville, FL 32208-4124
Mailing Address7308 N Main StJacksonville, FL 32208-4124 · (904) 765-2475 · Fax (904) 764-9476
Phone(904) 765-2475
Fax(904) 764-9476
Sole ProprietorYes
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396836847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · FL27618
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7308 N MAIN ST, Jacksonville, FL 32208
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Other Identifiers 2

Medicare UPIND52552FL
Medicare ID-Type Unspecified15384FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kwang Park's NPI number?

The NPI number for Kwang Park is 1396836847. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Kwang Park located?

Kwang Park practices at 7308 N Main St, Jacksonville, FL 32208. The listed phone number is (904) 765-2475.

What is Kwang Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kwang Park was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.