MEDICARE: DAVID CHANG YI M.D.

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	ME103801	FL
2	261QU0200X	Urgent Care Clinic/Center	ME103801	FL
3	208000000X	Pediatrics Physician	ME103801	FL

General Provider Information

NPI Number	:	1366693921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID CHANG YI M.D.

Provider Business Mailing Address
First Line	:	92 E MITCHELL HAMMOCK RD STE 1006
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-9756
Country	:	US
Telephone Number	:	321-361-0022
Fax Number	:

Provider Business Practice Location Address
First Line	:	92 E MITCHELL HAMMOCK RD STE 1006
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-9756
Country	:	US
Telephone Number	:	321-364-0022
Fax Number	:

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

Provider Enumeration Date	:	10/01/2008
Last Update Date	:	01/12/2026

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Directions to “ DAVID CHANG YI M.D.” Practice Location

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