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1447488531

NPI Code Detail

MEDICARE: TUTU CHENG MD

MEDICARE: TUTU CHENG 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
1	208600000X	Surgery Physician	MT195132	PA
2	208600000X	Surgery Physician	ME134135	FL
3	208200000X	Plastic Surgery Physician	ME134135	FL

General Provider Information

NPI Number	:	1447488531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUTU CHENG MD

Provider Business Mailing Address
First Line	:	410 LIONEL WAY STE 204
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-7809
Country	:	US
Telephone Number	:	863-419-8133
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 LIONEL WAY STE 204
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-7809
Country	:	US
Telephone Number	:	863-419-8133
Fax Number	:

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

Provider Enumeration Date	:	06/26/2009
Last Update Date	:	09/26/2019

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Directions to “ TUTU CHENG MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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