Organization

Diane W Chung Md Pa

Anesthesiology Physician in Jacksonville, FL(View on Map)

Legal Business Name

Diane W Chung Md Pa

NPI Number

1912930595

NPI Type

Organization

Enumeration Date

07/08/2006

Specialties

(Taxonomies)

Code

207L00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 862056
3625 UNIVERSITY BLVD S

City

Orlando
Jacksonville

State

FL
FL

Postal Code

32886-2056
32216-4207

Country

US
US

Telephone Number

N/A
(904) 421-2119

Authorized Official

Name

Diane Chung

Title or Position

PRESIDENT

Telephone Number

(904) 421-2119

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

Data last updated by provider on 09/24/2007

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