Female

Sook O. Chung AP, LAC, NCCAOM, DOM

Acupuncturist in Orlando, FL(View on Map)

Full Name

Sook Ok Chung AP, LAC, NCCAOM, DOM

NPI Number

1487806030

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/15/2008

Specialties

(Taxonomies)

Code

171100000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

AP548

Contact
Information

Purpose

Mailing
Location

Address

4707 EDGEWATER DRIVE
4707 EDGEWATER DRIVE

City

Orlando
Orlando

State

FL
FL

Postal Code

32804
32804

Country

US
US

Telephone Number

(407) 521-5565
(407) 521-5565

Identifiers

Identifier

11996091
21193360572-01
730451
730451
7425760
C-0584
730451
730451
730451

Identifier State

FL
FL
FL
FL
FL
FL
FL
FL
FL

Identifier Issuer

CIGNA
BEECHSTREET
RESERVE NATIONAL
GREAT WEST HEALTHCARE
AETNA
BLUECROSS BLUESHEILD
MEDICAL RESOURCE, LLC
PREMERA BLUE CROSS
UNITED HEALTH CARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/19/2010

Provider Address

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