Chung, Roberta Gail
Chung, Roberta Gail is an sole proprietor health care provider with primary practice located at 17 E Oakland Ave , Ocoee FL 34761-2233. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chung, Roberta Gail can be contacted via phone (877) 423-1330.Contact Information
Primary practice address
17 E Oakland Ave
Ocoee FL 34761-2233
Phone: (877) 423-1330
Fax: (407) 877-2166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME81856 | Florida |
Profile Details
| NPI number | 1720032840 |
|---|---|
| LBN Legal business name | Chung, Roberta Gail |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2006 |
| Last updated | Oct 9th, 2009 - about 16 years 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 | 1720032840 | NPPES |
| Florida | Other | P00069406 | RAILROAD MEDICARE NUMBER |
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