Song, Tae H
Song, Tae H is an individual health care provider with primary practice located at 3501 Johnson St , Hollywood FL 33021-5421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Song, Tae H can be contacted via phone (954) 265-7750.Contact Information
Primary practice address
3501 Johnson St
Hollywood FL 33021-5421
Phone: (954) 265-7750
Fax: (954) 276-0280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME165335 | Florida |
Profile Details
| NPI number | 1053564732 |
|---|---|
| LBN Legal business name | Song, Tae H |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2008 |
| Last updated | Jan 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053564732 | NPPES |
| Florida | MEDICAID | 120907500 |
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