Organization
MICHAEL HSU M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CHANG-CHI HSU M.D. (OWNER)
(904) 824-4277
Entity
Organization
Contact information
Practice address
201 HEALTH PARK BLVD, SUITE 107, SAINT AUGUSTINE, FL 32086-5796
(904) 824-4277
(904) 824-4490
Mailing address
201 HEALTH PARK BLVD, SUITE 107, SAINT AUGUSTINE, FL 32086-5796
(904) 824-4277
(904) 824-4490
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME99434
FL
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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