Organization
NATURE COAST ORTHOPAEDICS & SPORTS MEDICINE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER CHOUNG MD (PRESIDENT)
(352) 746-5707
Entity
Organization
Contact information
Practice address
2155 W MUSTANG BLVD, BEVERLY HILLS, FL 34465-3520
(352) 746-5707
(352) 746-5944
Mailing address
PO BOX 640580, BEVERLY HILLS, FL 34464-0580
(352) 746-5707
(352) 746-5944
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0066779
FL
Other
Enumeration date
07/10/2006
Last updated
02/10/2009
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