Travis Park, MD Valid NPI

Individual provider · Internal Medicine Physician · Atlantis, FL

NPI

1740866748

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

168337 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2021-03-20

Last updated

2024-06-26