MEDICARE: ISABEL CHUNG MS, RD, LDN

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	133VN1501X	Sports Dietetics Nutrition Registered Dietitian	ND14238	FL

General Provider Information

NPI Number	:	1386489987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABEL CHUNG MS, RD, LDN

Provider Business Mailing Address
First Line	:	300 S AUSTRALIAN AVE UNIT 1002
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5098
Country	:	US
Telephone Number	:	919-265-4670
Fax Number	:

Provider Business Practice Location Address
First Line	:	5454 N HAVERHILL RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3006
Country	:	US
Telephone Number	:	919-265-4670
Fax Number	:

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

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	12/30/2025

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