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

Kwang Jin Park, NP

Individual provider Family Nurse Practitioner · NPI 1720749278

Kwang Jin Park, NP is a Nurse Practitioner in Orlando, Florida. Qualified in 2021, 5 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone: (407) 351-8500
Fax: (407) 345-9765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7350 Futures Dr Ste 1, Orlando, FL 32819-9082 — (321) 214-0028

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN11017162 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11017162 (FL)

Record details

NPI number1720749278
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 6, 2022
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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