Individual
DR. PHILIP MINDER CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD BOX 100296, GAINESVILLE, FL 32610-5310
(352) 273-7770
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 273-7770
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A89041
CA
2080P0202X
Pediatric Cardiology Physician
Primary
A89041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021747200
—
FL
Enumeration date
01/12/2009
Last updated
07/21/2022
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