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PARK MEDICAL CENTER
NPI 1629004114
Specialist in Orange Park, FL

Active since June 25, 2006
847 PARK AVE, ORANGE PARK, FL 32073(904) 264-4541(904) 278-2709 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Park Medical Center NPPES

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

PARK MEDICAL CENTER (NPI 1629004114) is a healthcare organization registered as a specialist in Orange Park, Florida and active in the NPI registry since June 2006. The organization lists William R Thompson, President, as its authorized official.

NPPES Registry Identity

NPI1629004114
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePARK MEDICAL CENTER
Location Address847 PARK AVEOrange Park, FL 32073-4117
Mailing Address847 Park AveOrange Park, FL 32073-4117 · (904) 264-4541 · Fax (904) 278-2709
Phone(904) 264-4541
Fax(904) 278-2709
Organization SubpartNo
Authorized OfficialWilliam R ThompsonPresident · (904) 264-4541
Enumeration DateJune 25, 2006
Last NPPES UpdateJune 10, 2015
✔ NPI 1629004114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0012468
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
847 PARK AVE, Orange Park, FL 32073
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified00471FL
Other1053388306Npi
Other1013985035Npi
Other1487621736Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. ANJAN R PARGHI M.D.
Family Medicine (Adult Medicine)
847 PARK AVE
ORANGE PARK, FL 32073
Clay County (904) 264-4541

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 Park Medical Center's NPI number?

The NPI number for Park Medical Center is 1629004114. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is Park Medical Center located?

Park Medical Center is located at 847 Park Ave, Orange Park, FL 32073. The listed phone number is (904) 264-4541.

What is Park Medical Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Park Medical Center was last updated on June 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.