Daniel N. Park , MPAS, PA-C
Physician Assistant - Medical • Macdill Afb, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Daniel Park has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Daniel Park, MPAS, PA-C was a registered Physician Assistant - Medical practicing in Macdill Afb, FL. Throughout an active medical career spanning 15 years, Daniel Park provided care at the practice location at USSOCOM CLINIC until profile deactivation on 2020-11-16.
Practice Location & Contact Primary Location
Ussocom Clinic
8415 Bayshore Blvd
Macdill Afb, FL 336211607
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant - Medical in Macdill Afb, FL
Practicing in Macdill Afb, FL (2836 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363AM0700X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Military Health Care Provider - Independent Duty Medical Technicians
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Social Worker - Clinical
Doctor of Philosophy (Ph.D.)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 16, 2020
Registered at USSOCOM CLINIC, 3250 ZEMKE AVE, MACDILL AFB, FL 33621 (Tel: 8138279871)
Registered at 8722 15TH ST N, SAINT PETERSBURG, FL 337022946 (Tel: 8135456736)
NPI status registered as active in NPPES database
Registered at USSOCOM CLINIC, 8415 BAYSHORE BLVD, MACDILL AFB, FL 336211607 (Tel: 8138279870)
Registered at 4717 JENNINGS BAY CT, TAMPA, FL 336113237 (Tel: 8138397204)
Recorded as DANIEL PARK, MPAS, PA-C
Physician Assistant (License #PA 9102370 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4717 Jennings Bay Ct
Tampa, FL 336113237
Phone: 8138397204
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