Individual
HONG SUN JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1706 BERGLUND LN, MELBOURNE, FL 32940-6474
(321) 421-7525
(321) 622-6860
Mailing address
8095 SPYGLASS HILL RD STE 105, MELBOURNE, FL 32940-8290
(804) 677-8956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME107337
FL
207RC0000X
Cardiovascular Disease Physician
ME107337
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME107337
FL
207UN0901X
Nuclear Cardiology Physician
ME107337
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14CJ3
BCBS
FL
01
—
7737732
AETNA
FL
Enumeration date
05/25/2007
Last updated
05/15/2024
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