Organization
LAKEVIEW SPECIALIST GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHAI CHANG MD (OWNER)
(352) 307-9925
Entity
Organization
Contact information
Practice address
10250 SE 167TH PLACE RD UNIT 5, SUMMERFIELD, FL 34491-8682
(352) 307-9925
Mailing address
10250 SE 167TH PLACE RD UNIT 5, SUMMERFIELD, FL 34491-8682
(352) 307-9925
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/12/2019
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