DR. YONG PARK MD NPI 1205913761

NPI Information

  • NPI: 1205913761
  • Provider Name: DR. YONG PARK, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 506 4TH ST NW
    JASPER, FL
    ZIP 32052
  • Phone: (386) 792-7200

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NPI Details

DR. Yong Park, MD is an emergency medicine in Jasper, FL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Yong Park, MD NPI is 1205913761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

506 4TH ST NW
JASPER, FL
ZIP 32052-603
Phone: (386) 792-7200
Fax: (386) 792-2084

The enumeration date for this NPI number is 11/1/2006 and was last updated on 1/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeLL528FLORIDANo
2207Q00000XFamily MedicineLL528FLORIDANo
3207P00000XEmergency MedicineLL528FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E7605AMEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2D12875MEDICARE UPINFLORIDA
382060OTHERFLORIDABCBS
4100108MEDICARE PINFLORIDA
5LL528OTHERFLORIDAMEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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