Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | ME113980 | FL |
NPI | 1376869529 |
---|---|
Provider Name | Joo Hee Seo |
First Address | Orlando, FL 32803-1456 |
Second Address | Orlando, FL 32803-1456 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 16/11/2012 |