Individual
DR. CHIH-CHIEN CHARLTON CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 E DR MARTIN LUTHER KING JR BLVD, STE 112, TAMPA, FL 33603-3932
(813) 229-6139
(813) 229-3180
Mailing address
507 E DR MARTIN LUTHER KING JR BLVD, STE 112, TAMPA, FL 33603-3932
(813) 229-6139
(813) 229-3180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 27926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290045
VACCINES FOR CHILDREN
FL
Enumeration date
07/26/2006
Last updated
07/09/2007
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