Individual provider · Type 1 NPI
Seong Gon Bae, MD
Surgery Physician · Lake Mary, FL
Practice location
4106 W Lake Mary Blvd Ste 330
Lake Mary, FL 32746-3383
Other practice locations
- 15211 Vanowen St Unit 200, Van Nuys, CA 91405-3606 · (818) 782-3255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | A123341 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Surgery Physician Primary | 208600000X | ME128524 (FL) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
2 other providers at this address
Other surgery physician providers in Lake Mary
- Robin L. Rahm, MDSurgery Physician Lake Mary, FL NPI 1003867862
- William L. Huether Iii, MDSurgery Physician Lake Mary, FL NPI 1013975192
- Kasia Osadzinska, MDSurgery Physician Lake Mary, FL NPI 1063592376
- Nathan Christopher Deangelis, DOSurgery Physician Lake Mary, FL NPI 1063651131
- John W. Robertson, MDSurgery Physician Lake Mary, FL NPI 1285692673
- Eric David Rideman, DOSurgery Physician Lake Mary, FL NPI 1396057394
- Brian L. Cameron, MDSurgery Physician Lake Mary, FL NPI 1538127592
About NPI 1114122769
Seong Gon Bae, MD's National Provider Identifier is 1114122769, issued on Jun 15, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Lake Mary, FL. The record was last updated on Feb 6, 2023.