Park Medical Center

LBN: Park Medical Center
Park Medical Center is an health care organization with primary practice located at 847 Park Ave , Orange Park FL 32073-4117. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Park Medical Center can be contacted via phone (904) 264-4541, or through Thompson, William R via phone (904) 264-4541.

Contact Information

Primary practice address
847 Park Ave Orange Park FL 32073-4117
Phone: (904) 264-4541
Fax: (904) 278-2709
Website:
Map and Directions
Authorized official contact:
Name: Thompson, William R Doctor of Medicine (MD)
Phone: (904) 264-4541

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0012468 Florida

Profile Details

NPI number 1629004114
LBN Legal business name Park Medical Center
DBA Doing business as
Authorized official Thompson, William R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Jun 10th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629004114 NPPES
Other 1487621736 NPI
Other 1013985035 NPI
Other 1053388306 NPI

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