Byun, Sung Tae

Byun, Sung Tae is an individual health care provider with primary practice located at 8787 Bryan Dairy Rd Suite 210, Largo FL 33777-1251. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Byun, Sung Tae can be contacted via phone (727) 397-9641.

Contact Information

Primary practice address
8787 Bryan Dairy Rd Suite 210 Largo FL 33777-1251
Phone: (727) 397-9641
Fax: (727) 393-4194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME72379 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME72379 Florida
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME72379 Florida

Profile Details

NPI number 1194769810
LBN Legal business name Byun, Sung Tae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Aug 3rd, 2015 - about 11 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 1194769810 NPPES
Florida MEDICAID 261657200
Florida Other 830003154

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