| Chanun Park Do Pa | |
|
1220 Business Way Unit 1 Lehigh Acres FL 33936-6007 | |
| (239) 369-4155 | |
| (239) 369-1950 |
| Full Name | Chanun Park Do Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1220 Business Way, Lehigh Acres, Florida |
| Authorized Official Name and Position | Chanun Dustin Park (PRESIDENT) |
| Authorized Official Contact | 2393694155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chanun Park Do Pa 1220 Business Way Unit 1 Lehigh Acres FL 33936-6007 Ph: (239) 369-4155 | Chanun Park Do Pa 1220 Business Way Unit 1 Lehigh Acres FL 33936-6007 Ph: (239) 369-4155 |
| NPI Number | 1619126323 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 11/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619126323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OS8128 (Florida) | Primary |
Galenus Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 Lee Blvd Ste 1400, Lehigh Acres, FL 33936 Phone: 239-368-7310 Fax: 239-368-7312 | |
E& M Medical Billing Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Pauline Ave, Lehigh Acres, FL 33974 Phone: 239-738-8264 Fax: 239-236-1370 | |
Wallace Family Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Lee Blvd, Suite 108, Lehigh Acres, FL 33971 Phone: 239-369-2903 Fax: 239-369-0500 | |
Medexpress Urgent Care - Lehigh Acres, Homestead Rd N Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Homestead Rd N, Lehigh Acres, FL 33936 Phone: 239-303-5020 Fax: 239-303-5053 | |
Best Care Community And Family Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2718 Lee Blvd Ste B, Lehigh Acres, FL 33971 Phone: 239-288-0840 Fax: 239-244-2195 | |
Lehigh Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Lee Blvd, Lehigh Acres, FL 33936 Phone: 239-369-2101 Fax: 239-368-4510 | |
Optimum Rehabilitation Specialists, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2724 5th St W Ste A, Lehigh Acres, FL 33971 Phone: 239-470-3578 |