Organization
SAE RYOUNG SONG, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAE R SONG M.D. (PSYCHIATRIST/OWNER)
(727) 846-9496
Entity
Organization
Contact information
Practice address
6245 STATE ROAD 54, NEW PORT RICHEY, FL 34653-6006
(727) 846-9496
(727) 849-8410
Mailing address
6245 STATE ROAD 54, NEW PORT RICHEY, FL 34653-6006
(727) 846-9496
(727) 849-8410
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0029968
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045480000
—
FL
Enumeration date
03/13/2012
Last updated
03/13/2012
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