Choi, Christine Tak-Fong

Choi, Christine Tak-Fong is an individual health care provider with primary practice located at 4972 Town Center Pkwy Ste 301 , Jacksonville FL 32246. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Choi, Christine Tak-Fong can be contacted via phone (904) 642-6100.

Contact Information

Primary practice address
4972 Town Center Pkwy Ste 301 Jacksonville FL 32246
Fax: (904) 642-5154
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN1798012 Florida

Profile Details

NPI number 1902831654
LBN Legal business name Choi, Christine Tak-Fong
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jan 31st, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902831654 NPPES
Florida MEDICAID 304939600

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