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

Dr. Kwang SE Park, MD

Individual provider Family Medicine Physician · NPI 1396836847

Dr. Kwang SE Park, MD is a Family Medicine Physician in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7308 N Main St
Jacksonville, FL 32208-4124
Phone: (904) 765-2475
Fax: (904) 764-9476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence FL27618 (FL)

Record details

NPI number1396836847
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 8, 2007

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