Sae Ryoung Song, M.D., P.A.

LBN: Sae Ryoung Song, M.D., P.A.
Sae Ryoung Song, M.D., P.A. is an health care organization with primary practice located at 6245 State Road 54 , New Port Richey FL 34653-6006. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Sae Ryoung Song, M.D., P.A. can be contacted via phone (727) 846-9496, or through Song, Sae R via phone (727) 846-9496.

Contact Information

Primary practice address
6245 State Road 54 New Port Richey FL 34653-6006
Phone: (727) 846-9496
Fax: (727) 849-8410
Website:
Map and Directions
Authorized official contact:
Name: Song, Sae R Doctor of Medicine (MD)
Phone: (727) 846-9496

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME0029968 Florida

Profile Details

NPI number 1659646354
LBN Legal business name Sae Ryoung Song, M.D., P.A.
DBA Doing business as
Authorized official Song, Sae R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2012
Last updated Mar 13th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659646354 NPPES
Florida MEDICAID 045480000

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