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
Fax: (863) 293-8230
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477524130 NPPES
Florida MEDICAID 272810900

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