JIMMY C CHAN-PONG

LAKELAND, FL
NPI1144224718
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: FL  ME0064566)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: FL  ME64566)
Enumeration Date2005-06-10
Last Update Date2022-08-05
Business Address
JIMMY C CHAN-PONG M.D.
3030 HARDEN BLVD
LAKELAND, FL 33803-7952
Phone number: 863-284-5020
Mailing Address
JIMMY C CHAN-PONG M.D.
1324 LAKELAND HILLS BLVD ATTN: MANAGED CARE DEPT
LAKELAND, FL 33805-4543
Phone number: