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NPI Code Detail

MEDICARE: JIMSON CHIU HUNG TSE MD

MEDICARE: JIMSON CHIU HUNG TSE 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
1207L00000XAnesthesiology Physician36463WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111094OTHERWIDEANCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073503272
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIMSON CHIU HUNG TSE MD
Provider Business Mailing Address
First Line : 10055 COVERED MOSS DR
Second Line :
City : ORLANDO
State : FL
Zip : 32836-6886
Country : US
Telephone Number : 608-295-8533
Fax Number :
Provider Business Practice Location Address
First Line : 400 CELEBRATION PL
Second Line :
City : KISSIMMEE
State : FL
Zip : 34747-4970
Country : US
Telephone Number : 407-303-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 12/06/2022

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Directions to “ JIMSON CHIU HUNG TSE MD” Practice Location

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