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CHANUN PARK DO PA
NPI 1619126323
Clinic/Center - Primary Care in Lehigh Acres, FL

Active since September 17, 2008
1220 BUSINESS WAY, UNIT 1, LEHIGH ACRES, FL 33936(239) 369-4155(239) 369-1950 Get Directions Write a Review

NPPES record last updated: November 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chanun Park Do Pa NPPES

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

CHANUN PARK DO PA (NPI 1619126323) is a healthcare organization registered as a primary care in Lehigh Acres, Florida and active in the NPI registry since September 2008. The organization lists Chanun Dustin Park, President, as its authorized official.

NPPES Registry Identity

NPI1619126323
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCHANUN PARK DO PA
Location Address1220 BUSINESS WAY, UNIT 1Lehigh Acres, FL 33936-6007
Mailing Address1220 Business Way, Unit 1Lehigh Acres, FL 33936-6007 · (239) 369-4155 · Fax (239) 369-1950
Phone(239) 369-4155
Fax(239) 369-1950
Organization SubpartNo
Authorized OfficialChanun Dustin ParkPresident · (239) 369-4155
Enumeration DateSeptember 17, 2008
Last NPPES UpdateNovember 24, 2008
✔ NPI 1619126323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · OS8128
1220 BUSINESS WAY, Lehigh Acres, FL 33936
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN51729FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JERILEE EMMA LOMAS D.O.
Internal Medicine
1220 BUSINESS WAY, SUITE 2
LEHIGH ACRES, FL 33936
Lee County (239) 303-2600

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 Chanun Park Do PA's NPI number?

The NPI number for Chanun Park Do PA is 1619126323. It was assigned to this organization in the NPPES registry on September 17, 2008.

Where is Chanun Park Do PA located?

Chanun Park Do PA is located at 1220 Business Way Unit 1, Lehigh Acres, FL 33936. The listed phone number is (239) 369-4155.

What is Chanun Park Do PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Chanun Park Do PA was last updated on November 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.