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

Dr. Minnsun Koh Park, MD

Individual provider Cardiovascular Disease Physician · NPI 1003158767

Dr. Minnsun Koh Park, MD is a Cardiovascular Disease (Cardiology) in Jacksonville, Florida. Graduated from Tulane University School of Medicine in 2013, 13 years ago. Practices with Las Cruces Physician Practices, LLC, a 108-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
13
Trained at
Tulane University School of Medicine
Licensed in
FL
In the registry since
2013
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

3900 University Blvd S
Jacksonville, FL 32216-4331
Phone: (904) 222-6656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1430 Tulane Ave, New Orleans, LA 70112-2632 — (504) 998-6689

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence ME146480 (FL)

Record details

NPI number1003158767
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2013
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Las Cruces Physician Practices, Llc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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