Individual
CARLOS F CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1862 MAYO DRIVE, TAVARES, FL 32778
(352) 343-0053
(352) 343-0059
Mailing address
PO BOX 1363, MOUNT DORA, FL 32756-1363
(352) 343-0053
(352) 343-0059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME71903
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251269602
—
FL
Enumeration date
07/05/2005
Last updated
03/13/2015
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