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Individual
DR. JASON JEONG HWAN SONG
Active
Individual
DR. JASON JEONG HWAN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
ME123792
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME123792
FL
208VP0000X
Pain Medicine Physician
Primary
123792
FL
390200000X
Student in an Organized Health Care Education/Training Program
236756
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015031800
—
FL
Enumeration date
02/02/2009
Last updated
10/27/2023
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