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DR. CHARLES SUE PARK MD
NPI 1629838198
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since March 20, 2024
653 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-3902(904) 244-3020 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Charles Sue Park Md NPPES

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

DR. CHARLES SUE PARK MD (NPI 1629838198) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1629838198
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CHARLES SUE PARKCredential: MD
Location Address653 W 8TH STJacksonville, FL 32209-6511
Mailing Address653 W 8th StJacksonville, FL 32209-6511 · (904) 244-3902 · Fax (904) 244-3020
Phone(904) 244-3902
Fax(904) 244-3020
Sole ProprietorNo
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1629838198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
653 W 8TH ST, Jacksonville, FL 32209
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Other Providers at the Same Location NPPES 20

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

MICHAEL DAVID SCHWEITZER BARRIOS MD
Internal Medicine (Pulmonary Disease)
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 383-1014
MRS. BRITTENY WINBURN
Nurse Practitioner (Pediatrics)
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3660
KELLY MARIE RUFF APRN
Nurse Practitioner
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-2061
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC
Oral & Maxillofacial Surgery
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-2000
KIMBERLY GREENWOOD JOHNSON AUDIOLOGIST
Audiologist
653 W 8TH ST, UFJAX - DEPT. OF SURGERY/OTOLARYNGOLOGY
JACKSONVILLE, FL 32209
Duval County (904) 244-7463
ANGELA M MASSEY ARNP
Nurse Practitioner (Family)
653 W 8TH ST, UROLOGY DEPT. 2ND FLOOR
JACKSONVILLE, FL 32209
Duval County (904) 244-7340
DR. TARIQ ALMEREY MD, FACS
Surgery (Surgical Oncology)
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-9525
MS. SHANAI LASHAYLA DIXON MD
Student in an Organized Health Care Education/Training Program
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3902

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 Charles Park's NPI number?

The NPI number for Charles Park is 1629838198. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Charles Park located?

Charles Park practices at 653 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 244-3902.

What is Charles Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Charles Park was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.