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1427257823

NPI Code Detail

MEDICARE: DR. ERIC EUI-SUN CHUNG MD

MEDICARE: DR. ERIC EUI-SUN CHUNG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME99517	FL
2	2085R0001X	Radiation Oncology Physician	ME99517	FL
3	2085R0001X	Radiation Oncology Physician	N9188	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	760528826	OTHER	TX	TAX ID
2	208302492	OTHER	TX	TAX ID
3	270573017	OTHER	TX	TAX ID
4	760567660	OTHER	TX	TAX ID
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427257823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC EUI-SUN CHUNG MD

Provider Business Mailing Address
First Line	:	2003 CENTRE POINTE BLVD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4893
Country	:	US
Telephone Number	:	850-878-2273
Fax Number	:	850-671-5900

Provider Business Practice Location Address
First Line	:	2003 CENTRE POINTE BLVD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4893
Country	:	US
Telephone Number	:	850-878-2273
Fax Number	:	850-671-5900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2007
Last Update Date	:	10/12/2016

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Directions to “ DR. ERIC EUI-SUN CHUNG MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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