person
Dr. Charles Sue Park, MD
Student in an Organized Health Care Education/Training Program in Jacksonville, Florida
NPI 1629838198

Charles Sue Park is a Student in an Organized Health Care Education/Training Program based in Jacksonville, FL. Charles Sue Park practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Charles Sue Park is 1629838198 and holds a License No. (Florida).

The current practice location address for Charles Sue Park is 653 W 8Th St, Jacksonville, FL and can be reached out via phone at 904-244-3902 and via fax at 904-244-3020.

Location: 653 W 8Th St, Jacksonville, FL, 32209-6511
person
Provider Profile Details
NPI Number
1629838198
Provider Name
Charles Sue Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
653 W 8Th St, Jacksonville, FL, 32209-6511
Phone Number
904-244-3902
Fax Number
904-244-3020
Provider Enumeration Date
03/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
653 W 8Th St
City
State
Zip
32209-6511
Phone Number
904-244-3902
Fax Number
904-244-3020
person
Provider Business Mailing Address Details
Address
653 W 8Th St
City
State
Zip
32209-6511
Phone Number
904-244-3902
Fax Number
904-244-3020
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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.
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