DR. JANELLE LIRA PARK


Address: 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214
Phone: 8138753950

DR. JANELLE LIRA PARK (NPI# 1033219563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033219563
Entity Type Individual
Full Name DR. JANELLE LIRA PARK
Credential M.D.
Practice Address 3402 W Dr Martin Luther King Jr Blvd
Tampa
FL 33607-6214
Mailing Address 4371 Veronica S Shoemaker Blvd
Attn: Credential Department
Fort Myers
FL 33916-2216
Practice Telephone 8138753950
Practice Fax Number 8138760432
Mailing Telephone 2392748200
Mailing Fax Number 2392783350
Enumeration Date 2006-09-24
Last Update Date 2012-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
ME103816 FL Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
A78831 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL AVMED 331658 01
FL 001497200 05
FL BCBS 146KH 01
FL RR MEDICARE P00811542 01

Other Providers JANELLE PARK

NPI Name Taxonomy Address Enumeration
1265815286 Janelle Chungwon Park Pharmacist 740 W Alluvial Ave Ste 101, Fresno, CA 93711-5509 2015-07-08

Office Location

Street Address 3402 W DR MARTIN LUTHER KING JR BLVD
City TAMPA
State FL
Zip Code 33607-6214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033189246 Matthew Adam Fink Internal Medicine 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 2006-01-23
1851948996 Luz Angela Soto Family Medicine 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 2019-08-22
1942719000 Gretchen Hall Nurse Practitioner 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 2017-09-21
1659811453 Danielle Meehan Nurse Practitioner 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 2017-02-28
1427409010 Mckenzie Nehaul Nurse Practitioner 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 2016-06-25
1538581558 Kim Stopczynski Nurse Practitioner 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 2014-01-10
1720328198 Sara A Beeler Nurse Practitioner 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 2013-02-22
1083903421 Michael Tyler Scott Radiology 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 2011-04-06
1487973087 Monique Z Sajjad Internal Medicine 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 2010-05-20
1588999171 Naima Vera-sommers Nurse Practitioner 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 2009-10-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326656265 Sky City Pharmacy LLC Pharmacy 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 2020-07-16
1821614413 Tammy Sue Alleyn Social Worker 4414 N. Armenia Av., Tampa, FL 33607 2020-06-19
1912528290 Advanced Mobile Medical Services Clinic/Center 2136 W. Mlk Blvd, Tampa, FL 33607 2020-04-28
1659909232 Rachel Sobiech Social Worker 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 2020-03-30
1295379733 Melizza Liz Sanchez Ayala Registered Nurse 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 2019-10-28
1720647191 Caretyme LLC Clinic/Center 1923 West St. John Street, Tampa, FL 33607 2019-06-10
1720545981 Amante Medical and Diabetic Center, P.a. Internal Medicine 1001 N Macdill Ave. Suite B, Tampa, FL 33607 2019-02-25
1609360908 Misty Dawn Ray Ross Social Worker 2902 N Armenia Ave Ste 200, Tampa, FL 33607 2018-06-20
1255825154 Kenneth Konrad Schirer Physical Therapist 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 2018-06-14
1902314875 Cardiac Cin of Florida, LLC Internal Medicine 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 2018-01-13
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962970111 William A Assad, M.d. Radiology 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 2018-11-06
1881011781 Michelle I Echevarria-colon Radiology 16308 E Course Dr, Tampa, FL 33624-1128 2014-03-28
1407170277 Sungjune Kim Radiology 12901 Bruce B Downs Blvd # 41, Moffitt Cancer Center, Tampa, FL 33612-4742 2010-03-23
1184617904 Jennifer W Gerson Radiology 15416 N Florida Ave, Tampa, FL 33613-1244 2005-08-26
1043202245 William A Assad Radiology 601 S Armenia Ave, Tampa, FL 33609-4123 2005-08-16
1013914647 Center for Radiation Oncology of Tampa Bay, Inc Radiology 2715 W Virginia Ave, Tampa, FL 33607-6327 2005-06-28
1427674613 Tampa Oncology and Proton LLC Radiology 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 2020-06-23
1306473236 Tampa Bay Radiosurgery Physicians Group LLC Radiology 5935 Webb Rd, Tampa, FL 33615-3219 2020-03-23
1821624651 Tampa Bay Radiosurgery Associates LLC Radiology 5935 Webb Rd, Tampa, FL 33615-3219 2020-03-12
1619455987 Francis Adumata Asamoah Radiology 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2018-07-30
Find all providers in TAMPA

Competitor

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City TAMPA
Zip Code 33607

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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