Chung, Sooyoung Peter

Chung, Sooyoung Peter is an individual health care provider with primary practice located at 1720 Se 16Th Ave Ste 303 , Ocala FL 34471-4620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Chung, Sooyoung Peter can be contacted via phone (352) 369-0288.

Contact Information

Primary practice address
1720 Se 16Th Ave Ste 303 Ocala FL 34471-4620
Phone: (352) 369-0288
Fax: (352) 867-1053
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME59509 Florida

Profile Details

NPI number 1871521708
LBN Legal business name Chung, Sooyoung Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Oct 2nd, 2018 - about 7 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 1871521708 NPPES
Florida Other 12456 BCBS FL
Florida MEDICAID 059341900 BCBS FL

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