Moon, Suk
Moon, Suk is an individual health care provider with primary practice located at 250 Avenue K Sw Ste 200, Winter Haven FL 33880-3919. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Moon, Suk can be contacted via phone (863) 297-5400.Contact Information
Primary practice address
250 Avenue K Sw Ste 200
Winter Haven FL 33880-3919
Phone: (863) 297-5400
Fax: (863) 293-8230
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME93029 | Florida |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | ME93029 | Florida |
Profile Details
NPI number | 1477524130 |
---|---|
LBN Legal business name | Moon, Suk |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2006 |
Last updated | Apr 19th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477524130 | NPPES |
Florida | MEDICAID | 272810900 |
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