Suk Moon is a Retina Specialist in Winter Haven, Florida. Suk Moon practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Suk Moon is 1477524130. The last update date is 2017-04-19.
Suk Moon's current location address is 250 Avenue K Sw, Winter Haven, Florida. You can contact this provider via phone number 8632975400 and fax number 8632938230. The mailing address for Suk Moon is 250 Avenue K Sw, Winter Haven, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suk Moon |
|---|---|
| Address | 250 Avenue K Sw, Winter Haven, Florida |
| Phone Number | 8632975400 |
| Fax Number | 8632938230 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477524130 |
|---|---|
| Provider Enumeration Date | 2006-01-31 |
| Last Updated Date | 2017-04-19 |
Provider Mailing Address Detail
| Address | 250 Avenue K Sw |
|---|---|
| City | Winter Haven |
| State | Florida (FL) |
| Post Code | 338803919 |
| Phone Number | 8632975400 |
| Fax Number | 8632938230 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | ME93029 |
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Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 272810900 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Suk Moon by the Centers for Medicare & Medicaid Services?
The Suk Moon has been assigned the NPI (National Provider Identifier) 1477524130 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Suk Moon is geographically located?
The Suk Moon is physically situated at the following location: 250 Avenue K Sw, Winter Haven, FL, 338803919.
What is Suk Moon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Suk Moon is Retina Specialist, and the taxonomy code that categorizes this field of expertise is 207Wx0107X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477524130 to Suk Moon?
The Centers for Medicare & Medicaid Services assigned the 1477524130 to Suk Moon on 2006-01-31.
As of what date was the information regarding Suk Moon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Suk Moon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-04-19.