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

Jane J Park, MD

Individual provider Pediatrics Physician · NPI 1790129898

Jane J Park, MD is a Pediatrics Physician in North Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
2
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

13279 N Cleveland Ave
North Fort Myers, FL 33903-4818
Phone: (239) 652-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME132432 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME132432 (FL)

Record details

NPI number1790129898
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2013
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021
Mailing addressPo Box 2147, Fort Myers, FL 33902-2147

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