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Lian S Chang Md. Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Redington Shores, Florida
NPI 1417390204

Lian S Chang Md. Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Redington Shores, FL and is specialized in Mental Health (Including Community Mental Health Center). Lian S Chang Md. Llc practices in Redington Shores, FL. The NPI Number for Lian S Chang Md. Llc is 1417390204 and holds a License No. ME98853 (Florida).

The current practice location address for Lian S Chang Md. Llc is 17900 Gulf Blvd Apt 7A, Redington Shores, FL and can be reached out via phone at 651-408-3978 and via fax at 651-636-7273.

Location: 17900 Gulf Blvd Apt 7A, Redington Shores, FL, 33708-1102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417390204
Provider Name
Lian S Chang Md. Llc
Credential
Provider Entity Type
Organization
Address
17900 Gulf Blvd Apt 7A, Redington Shores, FL, 33708-1102
Phone Number
651-408-3978
Fax Number
651-636-7273
Provider Enumeration Date
04/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AK187 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
17900 Gulf Blvd Apt 7A
City
Redington Shores
State
Florida
Zip
33708-1102
Phone Number
651-408-3978
Fax Number
651-636-7273
person
Provider Business Mailing Address Details
Address
17900 Gulf Blvd Apt 7A
City
Redington Shores
State
Florida
Zip
33708-1102
Phone Number
651-408-3978
Fax Number
651-636-7273
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
ME98853 (Florida)
Definition
Definition to come...
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