Healthcare Provider Details

I. General information

NPI: 1104258607
Provider Name (Legal Business Name): RICHARD HUNG PT., DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6920 N DALE MABRY HWY
TAMPA FL
33614-3931
US

IV. Provider business mailing address

6920 N DALE MABRY HWY
TAMPA FL
33614-3931
US

V. Phone/Fax

Practice location:
  • Phone: 813-212-1120
  • Fax: 813-412-8404
Mailing address:
  • Phone: 813-212-1120
  • Fax: 713-412-8404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number27529
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: