Park, Ryan

Park, Ryan is an sole proprietor health care provider with primary practice located at 559 W Twincourt Trl Ste 607-608 , Saint Augustine FL 32095-8805. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Park, Ryan can be contacted via phone (904) 230-3006.

Contact Information

Primary practice address
559 W Twincourt Trl Ste 607-608 Saint Augustine FL 32095-8805
Phone: (904) 230-3006
Fax: (877) 638-8891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11030031 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-1200A Idaho

Profile Details

NPI number 1760738728
LBN Legal business name Park, Ryan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2012
Last updated Mar 6th, 2024 - about last year

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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