Individual
SOOYOUNG PETER CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 SE 16TH AVE STE 303, OCALA, FL 34471-4620
(352) 369-0288
(352) 867-1053
Mailing address
1720 SE 16TH AVE STE 303, OCALA, FL 34471-4620
(352) 369-0288
(352) 867-1053
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME59509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059341900
—
FL
01
—
12456
BCBS FL
FL
Enumeration date
06/29/2006
Last updated
10/02/2018
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