Doctor Name: | MR. JOEL A PARK |
NPI Number: | 1851769707 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1821 Dora Ave Apartment 244 Tavares, FL - 327785765 |
Business Phone Number: | 3525085089 |
Business Fax Number: | 3524354605 |
Mailing Address: | 1821 Dora Ave, Apartment 244 TAVARES |
State: | FL |
Postal Code: | 327785765 |
Phone Number: | 3525085089 |
Fax Number: | 3524354605 |
NPI Enumeration Date: | 09/09/2015 |
NPI Last Update Date: | 09/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |