Chanun Park Do PA
NPI #1619126323 in Lehigh Acres, Florida
Provider Information
- NPI Number
- 1619126323
- Entity Type
- Organization
- Organization Name
- Chanun Park Do PA
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 17, 2008
- Last Updated
- Nov 24, 2008
Practice Location
- Address
- 1220 BUSINESS WAY
- Address 2
- UNIT 1
- City
- Lehigh Acres
- State
- Florida
- ZIP Code
- 33936-6007
- Phone
- (239) 369-4155
Authorized Official
- Name
- DR. CHANUN DUSTIN PARK, D.O.
- Title
- PRESIDENT
- Phone
- (239) 369-4155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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