MEDICARE: DR. LUKE CHOU-TIT KUNG 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	ME50393	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00909736	OTHER	FL	MEDICARE RR
3	08275X	OTHER	FL	MEDICARE TYPE - UNSPECIFIED

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08275	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1912176041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUKE CHOU-TIT KUNG M.D.

Provider Business Mailing Address
First Line	:	14690 SPRING HILL DR
Second Line	:	SUITE 101 ATTN:CREDENTIALING
City	:	SPRING HILL
State	:	FL
Zip	:	34609-8102
Country	:	US
Telephone Number	:	352-799-0046
Fax Number	:	352-606-2857

Provider Business Practice Location Address
First Line	:	634 NE JENSEN BEACH BLVD
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4750
Country	:	US
Telephone Number	:	772-334-6201
Fax Number	:	772-334-6199

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

Provider Enumeration Date	:	02/22/2008
Last Update Date	:	03/08/2017

Similar Medicare Providers

1265473409 — DR. JOHN MIHALOVICH PH.D.
Practice Location Address:

614 NE JENSEN BEACH BLVD
JENSEN BEACH, FL
34957-4750

Practice Phone: 772-370-9836
Practice Fax: 772-225-1226

1497771893 — A CENTER OF LIFE, INC.
Practice Location Address:

642 NE JENSEN BEACH BLVD
JENSEN BEACH, FL
34957-4750

Practice Phone: 772-334-0034
Practice Fax: 772-334-0032

1356363212 — TREASURE COAST SLEEP DISORDERS LLC
Practice Location Address:

642 NE JENSEN BEACH BLVD
JENSEN BEACH, FL
34957-4750

Practice Phone: 772-232-9990
Practice Fax: 772-232-9989

1841361987 — MRS. LYNN ANNE JORDAN LCSW
Practice Location Address:

614 NE JENSEN BEACH BLVD
JENSEN BEACH, FL
34957-4750

Practice Phone: 772-233-2354
Practice Fax: 772-225-1226

1710013651 — CARON FAHERTY O.T.
Practice Location Address:

690 JENSEN BEACH BLVD
JENSEN BEACH, FL
34957-4750

Practice Phone: 772-708-3751
Practice Fax: 772-225-0843

1467622472 — RICHARD HIGINBOTHAM PA
Practice Location Address:

614 NE JENSEN BEACH BLVD
JENSEN BEACH, FL
34957-4750

Practice Phone: 772-225-1226
Practice Fax:

Directions to “ DR. LUKE CHOU-TIT KUNG M.D.” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.