Park, Jong Ho

Park, Jong Ho is an individual health care provider with primary practice located at 2125 Crystal Grove Dr , Lakeland FL 33801-6875. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Park, Jong Ho can be contacted via phone (863) 688-2334.

Contact Information

Primary practice address
2125 Crystal Grove Dr Lakeland FL 33801-6875
Phone: (863) 688-2334
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 254362 New York
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME119926 Florida

Profile Details

NPI number 1326208034
LBN Legal business name Park, Jong Ho
Credentials M.D., M.P.H
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2008
Last updated Jun 17th, 2014 - about 11 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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