Provider Demographics
NPI:1073954947
Name:YUN, SEONGSEOK (MD)
Entity Type:Individual
Prefix:DR
First Name:SEONGSEOK
Middle Name:
Last Name:YUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4504 W SPRUCE ST
Mailing Address - Street 2:APT 615
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5789
Mailing Address - Country:US
Mailing Address - Phone:507-316-1342
Mailing Address - Fax:
Practice Address - Street 1:4504 W SPRUCE ST
Practice Address - Street 2:APT 615
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5789
Practice Address - Country:US
Practice Address - Phone:520-626-2761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program