Individual
KUN MING CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3501 W VINE ST STE 226, KISSIMMEE, FL 34741-4633
(407) 530-4910
Mailing address
711 N 3RD ST STE 2, LEESBURG, FL 34748-4495
(727) 992-6658
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912171380
—
PR
Enumeration date
04/16/2008
Last updated
07/21/2022
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