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
Fax: (813) 558-6187
Website:

Health care specialties

SpecialtyCodeLicense #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 5 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 1235367483 NPPES
Florida MEDICAID 014890300
Florida Other 150W5

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