Healthcare Provider Details

I. General information

NPI: 1124222724
Provider Name (Legal Business Name): SONJA L YOO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7051 SOUTHPOINT PKWY S
JACKSONVILLE FL
32216-8713
US

IV. Provider business mailing address

7051 SOUTHPOINT PKWY S
JACKSONVILLE FL
32216-8713
US

V. Phone/Fax

Practice location:
  • Phone: 904-493-2229
  • Fax: 904-396-4546
Mailing address:
  • Phone: 904-493-2229
  • Fax: 904-396-4546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOS19163
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: