ERNEST CHUNG MD & ASSOCIATES PA
Ambulatory Health at 17 St, Saint Cloud, FL

License number
Florida ME83366
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. ERNEST CHUNG M.D.
Title: PRESIDENT
Phone: (407) 892-5856
Address
Address
2920 17Th St, Saint Cloud, FL 34769
National Provider ID: 1124043013
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ERNEST CHUNG M.D. & ASSOCIATES, PA

Saint Cloud, FL  -  Kissimmee, FL

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Mar 8, 2004
Inactive since:
Aug 8, 2013
Addresses:
2920 17 St, Saint Cloud, FL 34769 (Physical)
422 Janice Kay Pl, Kissimmee, FL 34744
State ID:
P04000042833
Business type:
Florida Profit Corporation
Secretary, Treasurers:
Ernest Chung (President, Director), 2920 17 St, Saint Cloud, FL 34769 (Physical),Andrew B Chung (Secretary, Treasurer, Vice President), 2920 17 St, Saint Cloud, FL 34769 (Physical),Melissa Chung Treasurer, Secretary, inactive,...
Agent:
Spiegel Utrera,1840 Coral Way, Miami, FL 33145 (Physical)
EIN:
550859495

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