Moon, Seong-Jin

Moon, Seong-Jin is an individual health care provider with primary practice located at 61 Memorial Medical Pkwy Ste 3808 , Palm Coast FL 32164-5982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Moon, Seong-Jin can be contacted via phone (386) 586-4293.

Contact Information

Primary practice address
61 Memorial Medical Pkwy Ste 3808 Palm Coast FL 32164-5982
Phone: (386) 586-4293
Fax: (386) 586-4294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME173842 Florida

Profile Details

NPI number 1154717528
LBN Legal business name Moon, Seong-Jin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2015
Last updated Sep 26th, 2025 - about last year

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 1154717528 NPPES
Washington MEDICAID 2154000

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