Yi, Seung Jin
Yi, Seung Jin is an individual health care provider with primary practice located at 6117 Gunn Hwy , Tampa FL 33625-4013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Yi, Seung Jin can be contacted via phone (813) 978-9700.Contact Information
Primary practice address
6117 Gunn Hwy
Tampa FL 33625-4013
Phone: (813) 978-9700
Fax: (813) 558-6187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | ME123493 | Florida |
Profile Details
| NPI number | 1235367483 |
|---|---|
| LBN Legal business name | Yi, Seung Jin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2009 |
| Last updated | Oct 9th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235367483 | NPPES |
| Florida | MEDICAID | 014890300 | |
| Florida | Other | 150W5 |
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