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ERNEST CHUNG MD & ASSOCIATES PA NPI 1124043013


NPI Information

NPI: 1124043013
Provider Name: ERNEST CHUNG MD & ASSOCIATES PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2920 17TH ST
SAINT CLOUD, FL
ZIP 34769
Phone: (407) 892-5856
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ERNEST CHUNG MD & ASSOCIATES PA is a primary care clinic center in Saint Cloud, FL. ERNEST CHUNG MD & ASSOCIATES PA NPI is 1124043013. The provider is registered as an organization entity type.

The provider's business location address is:

2920 17TH ST
SAINT CLOUD, FL
ZIP 34769-018
Phone: (407) 892-5856
Fax: (407) 892-5885

The provider's authorized official is Ernest Chung .
The authorized official title is President and has the following contact phone number (407) 892-5856.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 11/30/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareME83366FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G41881MEDICARE UPINFLORIDA
2262909700MEDICAIDFLORIDA
306510XMEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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