Healthcare Provider Details

I. General information

NPI: 1992334817
Provider Name (Legal Business Name): SU YEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 S CONGRESS AVE
ATLANTIS FL
33462-1149
US

IV. Provider business mailing address

5153 WILLOW POND RD W
WEST PALM BEACH FL
33417-8156
US

V. Phone/Fax

Practice location:
  • Phone: 561-385-3278
  • Fax:
Mailing address:
  • Phone: 561-385-3278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME161198
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: