Individual
CHUNG CHE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6611
Mailing address
PO BOX 140987, ORLANDO, FL 32814-0987
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
41115
WI
207ZH0000X
Hematology (Pathology) Physician
L8303
TX
207ZH0000X
Hematology (Pathology) Physician
ME108622
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
41115
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
L8303
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME108622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003558900
—
FL
01
—
14CW6
BC BS OF FLORIDA
FL
05
—
160109802
—
TX
05
—
160109803
—
TX
Enumeration date
05/05/2006
Last updated
06/23/2011
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