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

Dr. Jay Sung Park, DO

Individual provider Diagnostic Radiology Physician · NPI 1639167877

Dr. Jay Sung Park, DO is a Diagnostic Radiology Physician in Lakeland, Florida. Works from 2 locations. Licensed in Florida, Louisiana and Ohio.

Licensed in
FL, LA, OH
In the registry since
2005
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone: (863) 680-7000
Fax: (866) 264-8519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 — (985) 345-2700

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence OS11094 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 346214 (LA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 24.000017 (OH)

Record details

NPI number1639167877
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 12, 2005
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019

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