Garcia-Chung, Delores R

Garcia-Chung, Delores R is an individual health care provider with primary practice located at 950 County Road 17A W , Avon Park FL 33825-2164. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Garcia-Chung, Delores R can be contacted via phone (863) 452-3000.

Contact Information

Primary practice address
950 County Road 17A W Avon Park FL 33825-2164
Fax: (863) 452-3029
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME82414 Florida

Profile Details

NPI number 1568457422
LBN Legal business name Garcia-Chung, Delores R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated May 21st, 2008 - about 16 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 1568457422 NPPES
Florida Other 04093 BCBS OF FLORIDA
Florida MEDICAID 261691200 BCBS OF FLORIDA

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