Provider Demographics
NPI:1891921078
Name:HWANG, JUNE HYUN MI
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:HYUN MI
Last Name:HWANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JUNE
Other - Middle Name:HYUN-MI
Other - Last Name:HWANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18912 PEBBLE LINKS CIRCLE #204
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1605
Mailing Address - Country:US
Mailing Address - Phone:516-312-5585
Mailing Address - Fax:
Practice Address - Street 1:18912 PEBBLE LINKS CIR APT 204
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-1896
Practice Address - Country:US
Practice Address - Phone:516-312-5585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3677171100000X
NY9101111171100000X
NY030757-1174400000X
FLPT26315174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No174400000XOther Service ProvidersSpecialist