Bae, Seong Gon

Bae, Seong Gon is an sole proprietor health care provider with primary practice located at 4106 W Lake Mary Blvd Ste 330 , Lake Mary FL 32746-3383. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bae, Seong Gon can be contacted via phone (407) 833-9195.

Contact Information

Primary practice address
4106 W Lake Mary Blvd Ste 330 Lake Mary FL 32746-3383
Phone: (407) 833-9195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A123341 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X ME128524 Florida

Profile Details

NPI number 1114122769
LBN Legal business name Bae, Seong Gon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2007
Last updated Feb 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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