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Individual

HAE JIN HONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2137 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6511
(813) 872-9384
(813) 872-7637
Mailing address
14690 SPRING HILL DR, SUITE 100 ATTN:CREDENTIALING, SPRING HILL, FL 34609-8102
(352) 799-0046
(352) 606-2857

Taxonomy

Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
ARNP9294597
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020724600
FL
Enumeration date
02/22/2017
Last updated
07/21/2022
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