Individual
DR. HERNANDO EDWIN CHONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9045 SW 87TH CT, MIAMI, FL 33176-2304
(305) 598-7715
(305) 598-7719
Mailing address
9045 SW 87TH CT, MIAMI, FL 33176-2304
(305) 598-7715
(305) 598-7719
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS8299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K0849
GROUP MEDICARE NUMBER
FL
Enumeration date
03/17/2006
Last updated
10/20/2022
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