Individual
DR. JENNIFER CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1245 ORANGE AVE STE 120, WINTER PARK, FL 32789-4954
(407) 478-4585
Mailing address
851 TRAFALGAR COURT, SUITE 200E, MAITLAND, FL 32751-7274
(321) 422-0111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME115489
FL
207L00000X
Anesthesiology Physician
TRN13781
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME115489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013414400
—
FL
Enumeration date
07/23/2009
Last updated
07/09/2020
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