Healthcare Provider Details

I. General information

NPI: 1225244718
Provider Name (Legal Business Name): ALFRED CHING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2544 MASON OAKS DR
VALRICO FL
33594-6497
US

IV. Provider business mailing address

2544 MASON OAKS DR
VALRICO FL
33594
US

V. Phone/Fax

Practice location:
  • Phone: 813-684-4724
  • Fax:
Mailing address:
  • Phone: 813-684-4724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME60785
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME6075
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: