Song, Jason Jeong Hwan

Song, Jason Jeong Hwan is an individual health care provider with primary practice located at 2801 17Th St Unit 202 , Saint Cloud FL 34769-4939. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Song, Jason Jeong Hwan can be contacted via phone (407) 906-1328.

Contact Information

Primary practice address
2801 17Th St Unit 202 Saint Cloud FL 34769-4939
Phone: (407) 906-1328
Fax: (866) 425-8143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME123792 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X ME123792 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 236756 Massachusetts
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 123792 Florida

Profile Details

NPI number 1205074002
LBN Legal business name Song, Jason Jeong Hwan
Credentials M.D., PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2009
Last updated Oct 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205074002 NPPES
Florida MEDICAID 015031800

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