Individual
SEO YOON MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(571) 291-1238
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME123495
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2010
Last updated
12/22/2021
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