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Dr. Edwin Kyung Chung, MD

Internal Medicine in Lake Mary, FL. Individual provider (NPI-1).

NPI number1104841360
StatusActive
Last updated in NPPESSep 28, 2026

Details

NPI
1104841360
Entity type
Individual (NPI-1)
Name
Dr. Edwin Kyung Chung
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 12, 2006
Certification date
Sep 28, 2026
Last updated
Sep 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME124752FLYes
207RN0300X Internal Medicine, NephrologyME124752FL
208M00000X HospitalistME124752FL
207RH0005X Internal Medicine, Hypertension SpecialistME124752FL

Practice location

525 Technology Park Ste 109
Lake Mary, FL 32746-7107

Phone 407-647-2346

Mailing address

2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342

Phone 877-856-3774

Other practice locations

290 Nicholas Pkwy Nw Ste 1
Cape Coral, FL 33991-3804

Phone 239-573-1152 · Fax 239-573-1360

2343 Aaron St
Port Charlotte, FL 33952-5305

Phone 855-979-5700

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