| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SEAN K PARK | 1164081782 | 2024-04-06 |
Sean K Park is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164081782. Registration indicates Sean K Park is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Surgery (Surgery, ) (Specialist Network, ) (Surgery, Allopathic & Osteopathic Physicians) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Surgery) (Surgery, ) (Specialist Network, ) (Surgery, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Sean K Park MD |
| Practice Office Address | 2950 CLEVELAND CLINIC BLVD WESTON, FL US |
| Practice Office Telephone | 9546595000 |
| Mailing Address | 2950 CLEVELAND CLINIC BLVD WESTON, FL 333313609 US |
| Business Telephone | 9546595000 |
| Code | Practice | License No State |
|---|---|---|
| 208600000X | Allopathic & Osteopathic Physicians Surgery Surgery Specialist Network Surgery Allopathic & Osteopathic Physicians | 4351045522
MI |
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 208600000X | Allopathic & Osteopathic Physicians Surgery Surgery Specialist Network Surgery Allopathic & Osteopathic Physicians | 390200000X
MI |