Individual
DR. SIMONE M CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
(813) 974-0483
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-0483
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
T4722
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
ME166105
FL
2080P0207X
Pediatric Hematology & Oncology Physician
T4722
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121243000
—
FL
01
—
XLB2I
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/04/2016
Last updated
04/24/2024
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