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Individual

DR. ADRIANNA SUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
775 W GRANADA BLVD, ORMOND BEACH, FL 32174-5109
(925) 451-0138
Mailing address
1955 COWELL BLVD, DAVIS, CA 95618-6325
(530) 757-7100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19130
CA
207Q00000X
Family Medicine Physician
UO5974
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OS16419
STATE LICENSE
FL
Enumeration date
06/14/2018
Last updated
01/17/2022
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