NPPES file of Aug 9, 2026

Michelle Park

Pediatrics Physician · Jacksonville, FL

Michelle Park is a pediatrics physician with a practice address in Jacksonville, Florida, and NPI 1073254207, issued on Apr 3, 2022. Check the license (Florida OS22077, as entered in NPPES) on the Florida health license search; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1073254207
Name
Michelle Park
Primary taxonomy
Pediatrics Physician 208000000X
License number
OS22077 FL
Self-reported in NPPES; status is on the state search
Practice location
6015 118TH St, Jacksonville, FL 32244
Phone
(904) 633-0610
Enumerated
Apr 3, 2022
Record last updated
Jul 6, 2026
Fax
(904) 633-0611
Medicare enrollment
Enrolled (PECOS I20260512002810); may accept Medicare assignment
Medical or professional school
Alabama College Of Osteopathic Medicine, 2022
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest pediatrics physician records → All 3,996 in Florida → Look up another NPI →

Also registered at 6015 118TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Robert Cain, PA,PHDPhysician Assistant1952569303
  2. Pradeep Khanna, M.D.General Practice Physician1659705762
  3. Sofia Muenyi, MDFamily Medicine Physician1285015511
  4. Leslie Ravago, M.D.Pediatrics Physician1487613535
  5. Kelley Schneider, FNPFamily Nurse Practitioner1700057379
  6. Tanza Walker, ARNPFamily Nurse Practitioner1396204871

Verify Michelle Park in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license OS22077    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

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Michelle Park among 3,996 pediatrics physician records in Florida

Michelle Park is one of 3,996 pediatrics physician records with a practice address in Florida. 51% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2022, is newer than 95% of them.

  • NPI issued2022 · 95% of these records are older, 3% newer
  • In a Medicare fileNo · 51% of these records are
  • In the CMS Doctors and Clinicians fileYes · 7% of these records are
  • Graduated2022 · median 2010 among the 266 with a school on file
  • Record last updated2026 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatrics Physician providers in Florida

There are 3,996 pediatrics physician records in Florida. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 3,996 in Florida → Every provider in Jacksonville → Pediatrics Physician nationwide →

The 8 pediatrics physician records with the nearest ZIP codes

  1. Tariq Gulzar, M.D.Jacksonville, FL 322441336495662
  2. Leslie Ravago, M.D.Jacksonville, FL 322441487613535
  3. Orlando Rendon, M.D.Jacksonville, FL 322441700891595
  4. Leticia Abrea, M.D.Jacksonville, FL 322461710911706
  5. Premal Acharya, DOJacksonville, FL 322461235330986
  6. Trisha Brown, MDJacksonville, FL 322461891127189
  7. Kenneth Cohen, MDJacksonville, FL 322461437269594
  8. Liberty Dizon, M.D.Jacksonville, FL 322461417026063

Common questions

What is Michelle Park's NPI number?

Michelle Park's National Provider Identifier (NPI) is 1073254207, issued on Apr 3, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Michelle Park located?

The NPPES record lists a practice address at 6015 118TH St, Jacksonville, FL, 32244. Phone: (904) 633-0610. Providers update this record themselves, so call before visiting.

How can I verify Michelle Park's license?

NPPES lists Florida license number OS22077, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.