Chang, Yun Tae
Chang, Yun Tae is an individual health care provider with primary practice located at 4211 Vandyke Road Suite 200, Lutz FL 33558-8005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chang, Yun Tae can be contacted via phone (813) 321-6237.Contact Information
Primary practice address
4211 Vandyke Road Suite 200
Lutz FL 33558-8005
Phone: (813) 321-6237
Fax: (813) 463-1801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0073300 | Florida |
Profile Details
| NPI number | 1033152087 |
|---|---|
| LBN Legal business name | Chang, Yun Tae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Aug 15th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033152087 | NPPES |
| Florida | MEDICAID | 270807800 |
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