Nam, Soo Y
Nam, Soo Y is an individual health care provider with primary practice located at 701 W Cocoa Beach Cswy , Cocoa Beach FL 32931. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Nam, Soo Y can be contacted via phone (321) 868-5871.Contact Information
Primary practice address
701 W Cocoa Beach Cswy
Cocoa Beach FL 32931
Phone: (321) 868-5871
Fax: (321) 868-5852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME101539 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME101539 | Florida |
Profile Details
| NPI number | 1811041247 |
|---|---|
| LBN Legal business name | Nam, Soo Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Oct 13th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811041247 | NPPES |
| Florida | Other | AK637T | MEDICARE HF |
| Florida | MEDICAID | 281280100 | MEDICARE HF |
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