Individual
DR. PETER BYUNG-HOON KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8920
(617) 730-0279
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-8920
(617) 730-0279
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
214097
MA
2084N0400X
Neurology Physician
214097
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
214097
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME117461
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009815500
—
FL
05
—
0198471
—
MA
Enumeration date
07/17/2006
Last updated
01/13/2014
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