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

Mr. Ryan Park, NP

Individual provider Nurse Practitioner · NPI 1760738728

Mr. Ryan Park, NP is a Nurse Practitioner in Saint Augustine, Florida. Qualified in 2012, 14 years ago. Practices with Solantic of Jacksonville LLC, a 52-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida and Idaho.

Years since qualifying
14
Licensed in
FL, ID
In the registry since
2012
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.

See every abbreviation used in this directory →

Practice location Address checks out

559 W Twincourt Trl Ste 607-608
Saint Augustine, FL 32095-8805
Phone: (904) 230-3006
Fax: (877) 638-8891
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1021 Cesery Blvd, Jacksonville, FL 32211-5609 — (904) 743-2466
  • 57 Town Ct Ste 123, Palm Coast, FL 32164-2425 — (904) 230-3006
  • 360 E Montvue Dr. Ste 100, Meridian, ID 83642 — (208) 855-2900

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11030031 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP-1200A (ID)

Record details

NPI number1760738728
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 27, 2012
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address559 W Twincourt Trl Ste 607-608, Saint Augustine, FL 32095-8805

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Solantic Of Jacksonville Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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