Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chanun Park DO PA

Organization Primary Care Clinic/Center · NPI 1619126323

Chanun Park DO PA is a Primary Care Clinic/Center in Lehigh Acres, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1220 Business Way Unit 1
Lehigh Acres, FL 33936-6007
Phone: (239) 369-4155
Fax: (239) 369-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence OS8128 (FL)

Record details

NPI number1619126323
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chanun Park — President · (239) 369-4155
NPI enumeratedSeptember 17, 2008
Last updated in NPPESNovember 24, 2008
Mailing address1220 Business Way, Unit 1, Lehigh Acres, FL 33936-6007

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