Park, Edythe B.

Park, Edythe B. is an individual health care provider with primary practice located at 2725 Se Maricamp Rd , Ocala FL 34471-5537. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Other Service Providers / Legal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Park, Edythe B. can be contacted via phone (352) 369-8700.

Contact Information

Primary practice address
2725 Se Maricamp Rd Ocala FL 34471-5537
Phone: (352) 369-8700
Fax: (352) 369-8703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME100186 Florida
Other Service Providers / Legal Medicine 173000000X

Profile Details

NPI number 1073699120
LBN Legal business name Park, Edythe B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073699120 NPPES
Florida Other ME100186 STATE LICENSE

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