Individual
MYUNG SUK TAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM, AP
Contact information
Practice address
4800 N FEDERAL HWY, SUITE D304, BOCA RATON, FL 33431-5188
(561) 338-3337
(561) 338-4805
Mailing address
4800 N FEDERAL HWY, SUITE D304, BOCA RATON, FL 33431-5188
(561) 338-3337
(561) 338-4805
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 1195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP1195
ACUPUNCTURE
FL
Enumeration date
03/09/2007
Last updated
12/03/2008
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