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

Jacob Park, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013777903

Jacob Park, MD is a Student in an Organized Health Care Education/Training Program in Tallahassee, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone: (850) 325-5931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1013777903
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 15, 2025
Certification dateMarch 15, 2025
Mailing address2626 Capital Medical Blvd, Tallahassee, FL 32308-4402

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