Provider profile

Individual

Jay Sung Park

Radiology in Lakeland, FL. NPI 1639167877, listed in the CMS NPI Registry since 10/12/2005. Bills Medicare.

NPI 1639167877Specialty RadiologyEnumerated 10/12/2005
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Registry and Medicare facts

Practice location
1600 Lakeland Hills Blvd, Lakeland, FL 33805
CMS NPI Registry
Phone
(863) 680-7000
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
10/12/2005
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
3,379 Part B
CMS Medicare 2024

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