Taylor, Sung Il

Taylor, Sung Il is an individual health care provider with primary practice located at 1800 W Hibiscus Blvd Ste 101 , Melbourne FL 32901-2624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Taylor, Sung Il can be contacted via phone (321) 726-1600.

Contact Information

Primary practice address
1800 W Hibiscus Blvd Ste 101 Melbourne FL 32901-2624
Fax: (321) 726-1610
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34007174-T Ohio

Profile Details

NPI number 1477552917
LBN Legal business name Taylor, Sung Il
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Aug 19th, 2011 - about 13 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 1477552917 NPPES
Ohio MEDICAID 2234942

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