Healthcare Provider Details

I. General information

NPI: 1326903931
Provider Name (Legal Business Name): SOON HYE YANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E SAMPLE RD
DEERFIELD BEACH FL
33064-3502
US

IV. Provider business mailing address

2433 BLOODS GROVE CIR
DELRAY BEACH FL
33445-5300
US

V. Phone/Fax

Practice location:
  • Phone: 954-786-6884
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS66684
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: