Search › Florida › 363L00000X
Ryan Park, NP
NPI 1760738728 · on the registry since 2012 · sole proprietor
Practice
- Address
- 559 W Twincourt Trl Ste 607-608
Saint Augustine, FL 32095 - Phone
- (904) 230-3006
- Fax
- (877) 638-8891
- Clinicians at this address
- 2
Additional practice sites
- 360 E Montvue Dr. Ste 100, Meridian, ID
- 1021 Cesery Blvd, Jacksonville, FL
- 57 Town Ct Ste 123, Palm Coast, FL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- FL, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-06
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