Song, Jeremy J.

Song, Jeremy J. is an sole proprietor health care provider with primary practice located at 1150 N 35Th Ave Ste 440 , Hollywood FL 33021-5430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Song, Jeremy J. can be contacted via phone (954) 265-6356.

Contact Information

Primary practice address
1150 N 35Th Ave Ste 440 Hollywood FL 33021-5430
Phone: (954) 265-6356
Fax: (954) 265-3715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME143653 Florida

Profile Details

NPI number 1467879379
LBN Legal business name Song, Jeremy J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2014
Last updated May 21st, 2024 - about 4 months 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 1467879379 NPPES
Florida MEDICAID 106741100

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