Individual
JAEHOON BANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Mailing address
2623 MEANDER CV, WESLEY CHAPEL, FL 33543-7092
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA10550900
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
ME136674
FL
Other
Enumeration date
03/31/2013
Last updated
11/20/2024
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