Individual
SIMON SUNGHWAN OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
76 UNDERWOOD ST STE 200, ORLANDO, FL 32806-1110
(321) 841-3500
(321) 843-8777
Mailing address
76 UNDERWOOD ST STE 200, ORLANDO, FL 32806-1110
(321) 841-3500
(321) 843-8777
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN9437064
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11033970
FL
363LF0000X
Family Nurse Practitioner
F06241642
FL
Other
Enumeration date
06/17/2024
Last updated
08/02/2024
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