Individual
OLIVER CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3659 S MIAMI AVE STE 4002, MIAMI, FL 33133-4231
(305) 915-4663
(305) 675-5854
Mailing address
1300 S MIAMI AVE UNIT 2301, MIAMI, FL 33130-4478
(713) 859-5709
(305) 675-5854
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Q0888
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME116714
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/31/2011
Last updated
10/31/2017
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