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Contact Information

CHUNG CHE CHANG, MD
601 E ROLLINS ST
ORLANDO, FL32803-1248
 Phone: 407-303-6611
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Hematology

207ZH0000X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CHUNG CHE CHANG · (Male)

NPI Number 1194773663
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2006
Last updated 06/23/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME108622
  • TX License # L8303
  • WI License # 41115
  • FL Medicaid 003558900
  • TX Medicaid 160109802
  • TX Medicaid 160109803
  • FL Other 14CW6 BC BS OF FLORIDA
Hospital affiliation(s)
  • FLORIDA HOSPITAL - (Acute Care)
    601 E ROLLINS ST
    ORLANDO, FL 32803
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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