Individual
ELIZABETH O. CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
508 S HABANA AVE, SUITE 340, TAMPA, FL 33609-4181
(813) 873-7367
(813) 875-9722
Mailing address
508 S HABANA AVE, SUITE 340, TAMPA, FL 33609-4181
(813) 873-7367
(813) 875-9722
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273952600
—
FL
Enumeration date
09/27/2006
Last updated
07/09/2007
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