Seong Gon Bae is a Surgery in Lake Mary, Florida. Seong Gon Bae practices all healthcare services and medical treatments related to Surgery. The NPI Number for Seong Gon Bae is 1114122769. The last update date is 2023-02-06.
Seong Gon Bae's current location address is 4106 W Lake Mary Blvd Ste 330, Lake Mary, Florida. You can contact this provider via phone number 4078339195. The mailing address for Seong Gon Bae is 4106 W Lake Mary Blvd Ste 330, Lake Mary, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Seong Gon Bae |
|---|---|
| Address | 4106 W Lake Mary Blvd Ste 330, Lake Mary, Florida |
| Phone Number | 4078339195 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114122769 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2023-02-06 |
Provider Mailing Address Detail
| Address | 4106 W Lake Mary Blvd Ste 330 |
|---|---|
| City | Lake Mary |
| State | Florida (FL) |
| Post Code | 327463383 |
| Phone Number | 4078339195 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | A123341 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Seong Gon Bae by the Centers for Medicare & Medicaid Services?
The Seong Gon Bae has been issued the NPI (National Provider Identifier) 1114122769, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Seong Gon Bae's facilities are situated?
The facilities of Seong Gon Bae are physically located at the following address: 4106 W Lake Mary Blvd Ste 330, Lake Mary, FL, 327463383.
What is Seong Gon Bae's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Seong Gon Bae is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114122769 to Seong Gon Bae?
The Seong Gon Bae received its 1114122769 assignment from the Centers for Medicare & Medicaid Services on 2007-06-15.
As of what date were the details related to Seong Gon Bae most recently updated or revised?
The information pertaining to Seong Gon Bae, including its address, specialty, and other relevant details, was last updated or revised on 2023-02-06.
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