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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1518952571 | NPPES |
| Florida | MEDICAID | 267125500 |
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