Individual
DR. GRACE HAESUNG YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10000 SW INNOVATION WAY, PORT SAINT LUCIE, FL 34987-2111
(772) 345-5280
Mailing address
10000 SW INNOVATION WAY, PORT SAINT LUCIE, FL 34987-2111
(772) 345-5280
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME86154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267125500
—
FL
Enumeration date
09/15/2005
Last updated
02/03/2022
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