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Individual

DIANE WONJIN CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 421-2119
Mailing address
PO BOX 57100, JACKSONVILLE, FL 32241-7100

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME 68240
FL

Other

Enumeration date
08/18/2005
Last updated
09/24/2007
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