Organization
WESTCHASE GASTROENTEROLOGY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHANG M.D. (OWNER)
(813) 920-8882
Entity
Organization
Contact information
Practice address
11912 SHELDON RD STE B, TAMPA, FL 33626-3643
(813) 920-8882
(813) 920-8883
Mailing address
11912 SHELDON RD STE B, TAMPA, FL 33626-3643
(813) 920-8882
(813) 920-8883
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME66502
STATE LIC NUMBER
FL
Enumeration date
07/16/2007
Last updated
12/06/2007
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