John Park, DMD

NPI 1295754018 · on the registry since 2006 · sole proprietor

Practice

Address: 400 Avenue K Se
Ste 12
Winter Haven, FL 33880
Phone: (863) 293-0023
Organisation at this address: David C Neal Dds Pa
Tamara Pistoria D.O.
James J Booker Iv Md Pa
Excel Pain And Spine Llc
Baycare Medical Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida