Individual
DR. WALTER I CHOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2155 W MUSTANG BLVD, BEVERLY HILLS, FL 34465-0580
(352) 746-5707
(352) 746-5944
Mailing address
PO BOX 640580, BEVERLY HILLS, FL 34465-0580
(352) 746-5707
(352) 746-5944
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0066779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376362500
—
FL
Enumeration date
05/16/2006
Last updated
07/07/2010
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