Chong, Kok L.

Chong, Kok L. is an individual health care provider with primary practice located at 2720 Us Highway 1 S Ste C , Saint Augustine FL 32086-6371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Chong, Kok L. can be contacted via phone (904) 320-0680.

Contact Information

Primary practice address
2720 Us Highway 1 S Ste C Saint Augustine FL 32086-6371
Phone: (904) 320-0680
Fax: (904) 320-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A63517 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME105841 Florida

Profile Details

NPI number 1972681542
LBN Legal business name Chong, Kok L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 21st, 2022 - about 2 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 1972681542 NPPES
Florida MEDICAID 001743900

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