Individual
SEONG-JIN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 MEMORIAL MEDICAL PKWY STE 3808, PALM COAST, FL 32164-5982
(386) 586-4293
(386) 586-4294
Mailing address
770 W GRANADA BLVD STE 101, ORMOND BEACH, FL 32174-5179
(386) 231-4746
(386) 368-8927
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME173842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154000
—
WA
Enumeration date
04/12/2015
Last updated
09/26/2025
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