Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093363574 Individual Practitioner Male Practitioner

David Mansug Park , OMD

Acupuncturist • Leesburg, FL

Professional Overview & Biography Verified Profile Summary

David Park, OMD is a registered healthcare professional specializing in Acupuncturist in Leesburg, FL. Practice services are available at 1514 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1514 W Main St

Leesburg, FL 347484857

Telephone 3527598275
Fax 3522343625
Associated Practice Facility / Clinic
🏢 Cm Reid & Associates Inc Facility NPI 1457400939

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Leesburg, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Leesburg, FL (2398 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-23
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License FL 4075

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Acupuncture Physician
1093363574 (FL)
Commercial Insurance / Payer ID Pain Control By Acupuncture, Metabolic Matter Care By Enzymes
1093363574 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Chrisann Carrier-Reid , LCSW

Social Worker - Clinical

NPI 1720009087

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 27, 2022

Registered at 1514 W MAIN ST, LEESBURG, FL 347484857 (Tel: 3527598275)

📍
Updated Business Mailing Address July 27, 2022

Registered at 1514 W MAIN ST, LEESBURG, FL 347484857 (Tel: 3527598275)

👤
Provider Name / Credentials Updated July 27, 2022

Recorded as DAVID PARK, OMD

NPI Profile Active August 28, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2019

Registered at 5200 NEWBERRY RD STE D8, GAINESVILLE, FL 326072177 (Tel: 3522343625)

📍
Updated Business Mailing Address August 28, 2019

Registered at 5200 NEWBERRY RD STE D8, GAINESVILLE, FL 326072177 (Tel: 3522343625)

👤
Provider Name / Credentials Updated August 28, 2019

Recorded as DAVID PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2019

Acupuncturist (License #4075 in FL)

🟢
Initial NPI Registration & Enumeration August 28, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093363574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2019
Last Update: September 23, 2024
Sole Proprietor: Yes

Mailing Address

1514 W Main St

Leesburg, FL 347484857

Phone: 3527598275

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.