Individual
ROBERT WILLIAM FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
008130
GA
207Q00000X
Family Medicine Physician
OS19651
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
OS019410
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS19651
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129124600
—
FL
Enumeration date
03/30/2015
Last updated
12/10/2025
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