Healthcare Provider Details

I. General information

NPI: 1700024593
Provider Name (Legal Business Name): SUNG WOOK CHOI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: SUNG WOOK CHOI MD

II. Dates (important events)

Enumeration Date: 02/02/2009
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 W DR MLK BLVD
TAMPA FL
33607-6307
US

IV. Provider business mailing address

2995 DREW ST
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 813-870-4000
  • Fax:
Mailing address:
  • Phone: 727-315-7496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number81919
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberC3718
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number81919
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME162368
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: