Individual
JASON CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 615-7848
(913) 341-5797
Mailing address
PO BOX 23605, TAMPA, FL 33623-3605
(888) 533-0566
(913) 341-5797
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
57.010449
OH
207L00000X
Anesthesiology Physician
Primary
ME104807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146Q4
BCBS
FL
01
—
P00776737
RAILROAD
FL
Enumeration date
04/13/2007
Last updated
02/04/2010
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