Basic Information
| Provider Information | |||||||||
| NPI: | 1891941704 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NG | ||||||||
| FirstName: | KAR-YEE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | YUNG | ||||||||
| OtherFirstName: | KAR-YEE | ||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 7560 RED BUG LAKE ROAD | ||||||||
| Address2: | SUITE 2048 | ||||||||
| City: | OVIEDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32765 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4073668856 | ||||||||
| FaxNumber: | 4079774319 | ||||||||
| Practice Location | |||||||||
| Address1: | 7560 RED BUG LAKE ROAD | ||||||||
| Address2: | SUITE 2048 | ||||||||
| City: | OVIEDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32765 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4073668856 | ||||||||
| FaxNumber: | 4079774319 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2008 | ||||||||
| LastUpdateDate: | 07/22/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A102153 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | ME104556 | FL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.