Carlos Chang Md Pa

LBN: Carlos Chang Md Pa
Carlos Chang Md Pa is an health care organization with primary practice located at 1932 Salk Ave , Tavares FL 32778. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Carlos Chang Md Pa can be contacted via phone (352) 343-0053, or through Chang, Carlos via phone (352) 343-0053.

Contact Information

Primary practice address
1932 Salk Ave Tavares FL 32778
Fax: (352) 343-0059
Website:
Authorized official contact:
Name: Chang, Carlos Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME71903 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME71903 Florida

Profile Details

NPI number 1598795221
LBN Legal business name Carlos Chang Md Pa
DBA Doing business as
Authorized official Chang, Carlos Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Jun 24th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598795221 NPPES
Florida MEDICAID 251269602

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