Park, John I

Park, John I is an sole proprietor health care provider with primary practice located at 400 Avenue K Se Ste 12, Winter Haven FL 33880-4145. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Park, John I can be contacted via phone (863) 293-0023.

Contact Information

Primary practice address
400 Avenue K Se Ste 12 Winter Haven FL 33880-4145
Phone: (863) 293-0023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN14475 Florida

Profile Details

NPI number 1295754018
LBN Legal business name Park, John I
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Jan 6th, 2017 - about 9 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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