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NPI Code Detail

MEDICARE: DR. SUNGHWAN BYUN D.P.M.

MEDICARE:  DR. SUNGHWAN  BYUN  D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristPO3788FL

General Provider Information

NPI Number : 1780925792
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUNGHWAN BYUN D.P.M.
Provider Business Mailing Address
First Line : PO BOX 997
Second Line :
City : PALMETTO
State : FL
Zip : 34220-0997
Country : US
Telephone Number : 941-776-4000
Fax Number : 941-776-4013
Provider Business Practice Location Address
First Line : 5600 BAYSHORE RD
Second Line :
City : PALMETTO
State : FL
Zip : 34221-9352
Country : US
Telephone Number : 941-721-2020
Fax Number : 941-721-2027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2013
Last Update Date : 02/26/2016

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