Individual
DR. KUM SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13904 LAKESHORE BLVD, STE 410, HUDSON, FL 34667-1481
(727) 862-5489
(727) 862-0397
Mailing address
13904 LAKESHORE BLVD, STE 410, HUDSON, FL 34667-1481
(727) 862-5489
(727) 862-0397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME0048660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063864100
—
FL
Enumeration date
07/19/2005
Last updated
02/07/2012
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