Taylor, Sung Il
Taylor, Sung Il is an individual health care provider with primary practice located at 1800 W Hibiscus Blvd Ste 101 , Melbourne FL 32901-2624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Taylor, Sung Il can be contacted via phone (321) 726-1600.Contact Information
Primary practice address
1800 W Hibiscus Blvd Ste 101
Melbourne FL 32901-2624
Phone: (321) 726-1600
Fax: (321) 726-1610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34007174-T | Ohio |
Profile Details
| NPI number | 1477552917 |
|---|---|
| LBN Legal business name | Taylor, Sung Il |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Aug 19th, 2011 - about 15 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 | 1477552917 | NPPES |
| Ohio | MEDICAID | 2234942 |
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