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Individual

DR. LORRAINE SHERYL CHO CHUNG HING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1500 E VENICE AVE, SUITE 103, VENICE, FL 34292-1662
(941) 485-4700
(941) 485-2888
Mailing address
1500 E VENICE AVE, SUITE 103, VENICE, FL 34292-1662
(941) 485-4700
(941) 485-2888

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME84851
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269862500
FL
01
37783
BCBS
FL
01
800031974
TAX ID
FL
01
P00161340
MEDICARE RR
FL
Enumeration date
08/16/2005
Last updated
10/05/2012
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