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Eungsoo Shin

NPI 1548706690 · on the registry since 2017 · sole proprietor

Practice

Address
1520 Nw 125th Ave Apt 10301
Sunrise, FL 33323
Phone
(954) 994-6987
Clinicians at this address
3

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
225100000X
225100000X
Licence states on file
CT, IL, NY, NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida