| NPI | 1972079762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN K CHUNG Owner 941-400-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RH0005X Internal Medicine Hypertension Specialist |
| 207RN0300X Internal Medicine Nephrology | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |