Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | OS16070 | FL |
NPI | 1174950232 |
---|---|
Provider Name | Dr. John Jiyong Yoon |
First Address | Aventura, FL 33180-1252 |
Second Address | Aventura, FL 33180-1252 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2013 |
Last Update Date | 11/06/2019 |