Yoo, Grace Haesung

Yoo, Grace Haesung is an individual health care provider with primary practice located at 10000 Sw Innovation Way , Port Saint Lucie FL 34987-2111. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Yoo, Grace Haesung can be contacted via phone (772) 345-5280.

Contact Information

Primary practice address
10000 Sw Innovation Way Port Saint Lucie FL 34987-2111
Phone: (772) 345-5280
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME86154 Florida

Profile Details

NPI number 1518952571
LBN Legal business name Yoo, Grace Haesung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Feb 3rd, 2022 - about 3 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 1518952571 NPPES
Florida MEDICAID 267125500

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