Individual
DR. CHRISTINE KO BANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2370 MARKET DR, FLEMING ISLAND, FL 32003-4326
(904) 264-6201
(904) 264-6858
Mailing address
7015 A C SKINNER PKWY, SUITE 1, JACKSONVILLE, FL 32256-6932
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
0101242870
VA
2085R0001X
Radiation Oncology Physician
Primary
ME123077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014628400
—
FL
01
—
150CE
BC/BS
FL
01
—
382565
AVMED
FL
01
—
4885776
AETNA
FL
Enumeration date
01/09/2007
Last updated
07/29/2015
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