Individual
CHENG FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10000 W COLONIAL DR STE 381, OCOEE, FL 34761-3435
(321) 841-3467
(407) 253-2563
Mailing address
10000 W COLONIAL DR STE 381, OCOEE, FL 34761-3435
(321) 841-3467
(407) 253-2563
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME133590
FL
208M00000X
Hospitalist Physician
ME133590
FL
390200000X
Student in an Organized Health Care Education/Training Program
21391
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025133400
—
FL
Enumeration date
05/21/2015
Last updated
12/13/2024
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