Individual provider Active NPI

Rebecca Clare Tung, MD

  • Dermatology Physician
  • Davenport, FL
National Provider Identifier
1174574941
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME138354 Issued in FL
Practice address
130 Ridge Center Dr Ste 203
Davenport, FL 33837-6416
Phone
(863) 667-6647
Fax
(312) 276-8889
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME138354 FL
MOHS-Micrographic Surgery Physician 207ND0101X 036124020 IL
Dermatology Physician 207N00000X 35077947 OH
Dermatology Physician 207N00000X ME138354 FL Primary
Dermatology Physician 207N00000X 036124020 IL

Addresses

Primary practice location

130 Ridge Center Dr Ste 203
Davenport, FL 33837-6416

Mailing address

229 W Lake Summit Dr
Winter Haven, FL 33884-1528
Phone (863) 667-6647

Other practice location 1

5825 N Highway 27
Sebring, FL 33870-1216
Phone (813) 321-1786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091123000550 IL Practitioner - Dermatology 6002827599
I20190125002707 FL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 6002827599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Skin SolutionsGroup PAC ID 7416018221, 102 clinicians

Practice addresses (Care Compare)

130 Ridge Ctr Dr
Suite 203
Davenport, FL 33837-6416
Phone (863) 667-6647

5825 US Hwy 27 N
Sebring, FL 33870-1216
Phone (813) 321-1786

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision91
Removal of skin lesions305
Removal of skin cancer137
Removal or shaving of skin growth1-10
Skin biopsy257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME138354FLMDDermatology Physician
35077947OHMDDermatology Physician
036124020ILMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Skin Solutions Dermatology CurrentSince Mar 5, 2026 Accepting new patients
Cypress Crown Dermatology PLLC Dermatology CurrentSince Jul 14, 2025 Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

130 Ridge Center Dr
Ste 203
Davenport, FL 33837
Phone (863) 422-4338

5825 US 27 N
Sebring, FL 33870
Phone (863) 314-0001

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1174574941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W LAKE SUMMIT DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338841528",
            "telephone_number": "863-667-6647",
            "fax_number": "312-276-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 RIDGE CENTER DR STE 203",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376416",
            "telephone_number": "863-667-6647",
            "fax_number": "312-276-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5825 N Highway 27",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338701216",
            "country_code": "US",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUNG",
        "first_name": "REBECCA",
        "middle_name": "CLARE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME138354",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036124020",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35077947",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME138354",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036124020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.