In Soon Park MD

NPI 1083646350 - Surgery - 208600000X

NPI Details
NPI 1083646350
Gender Male
Enumeration Date 07/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
519 MEDICAL OAKS AVE
BRANDON FL, 33511, US
Phone (813) 685-7995
Fax (813) 685-8802
Business Location
519 MEDICAL OAKS AVE
BRANDON FL, 33511, US
Phone (813) 685-7995
Fax (813) 685-8802
Toxanomy
Taxonomy Code 208600000X
License State Florida
License Number ME93268
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According to our database, In Soon Park MD NPI is 1083646350, taxonomy code is 208600000X and license number is ME93268, license state is located at Florida. In Soon Park MD physically located at 519 Medical Oaks Ave, Brandon FL, 33511. NPI Number In Soon Park MD has the Individual type.

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1083646350 NPI number is provided on an as is basis without warranty of any kind. 1083646350 is maintained by the National Plan & Provider Enumeration System. The contents of In Soon Park MD are for informational purposes only.