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Individual
SU-MIN OON
Active
Individual
SU-MIN OON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
ME76691
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME76691
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261327100
—
FL
01
—
276243
AVMED
FL
01
—
51058
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/10/2005
Last updated
06/26/2020
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