Individual
JAMESON YE KUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 DAVIS BLVD STE 200, TAMPA, FL 33606-3438
(813) 821-8700
(813) 821-8302
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME162164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118710500
—
FL
01
—
GZ2Z3
BCBS
FL
Enumeration date
04/05/2019
Last updated
04/29/2024
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