Individual
HYUN BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0055
Mailing address
2700 LARCH CIR NE APT 101, PALM BAY, FL 32905-6440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9672910
FL
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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