Provider Demographics
NPI:1932378973
Name:RHO, TAE YUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:TAE
Middle Name:YUNG
Last Name:RHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1250 S 18TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FERNANDINA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32034-1902
Mailing Address - Country:US
Mailing Address - Phone:904-261-7707
Mailing Address - Fax:904-261-8616
Practice Address - Street 1:1250 S 18TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-1902
Practice Address - Country:US
Practice Address - Phone:904-261-7707
Practice Address - Fax:904-261-8616
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME324902080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine