Chung, Jae
Chung, Jae is an individual health care provider with primary practice located at 22395 Edgewater Dr , Port Charlotte FL 33980-2012. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Chung, Jae can be contacted via phone (941) 766-7222.Contact Information
Primary practice address
22395 Edgewater Dr
Port Charlotte FL 33980-2012
Phone: (941) 766-7222
Fax: (941) 766-0970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ME150694 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME150694 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1346636636 |
|---|---|
| LBN Legal business name | Chung, Jae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2015 |
| Last updated | Feb 9th, 2026 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346636636 | NPPES |
| Florida | MEDICAID | 111271700 |
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