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Organization
BEN L CHIANG MDPA
Active
Organization
BEN L CHIANG MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN L CHIANG MD (PRESIDENT)
(352) 567-1367
Entity
Organization
Contact information
Practice address
13020 FORT KING RD, STE 102, DADE CITY, FL 33525-5222
(352) 567-1367
Mailing address
13020 FORT KING RD, STE 102, DADE CITY, FL 33525-5222
(352) 567-1367
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07519
WELLCARE
FL
01
—
10356501
CITRUS HEALTHCARE
FL
01
—
202329
AMERIGROUP
FL
01
—
215919
AVMED
FL
01
—
51079
BLUE SHIELD OF FLORIDA
FL
Enumeration date
07/19/2005
Last updated
07/15/2007
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