Mook Sang, Brent D

Mook Sang, Brent D is an individual health care provider with primary practice located at 2470 Bloomingdale Ave Ste 223 , Valrico FL 33596-6403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mook Sang, Brent D can be contacted via phone (813) 689-7139.

Contact Information

Primary practice address
2470 Bloomingdale Ave Ste 223 Valrico FL 33596-6403
Phone: (813) 689-7139
Fax: (813) 443-8157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME44540 Florida

Profile Details

NPI number 1629070974
LBN Legal business name Mook Sang, Brent D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Feb 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629070974 NPPES
Florida MEDICAID 042425100

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