Delores R Garcia-Chung, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME82414 Issued in FL

Practice address

950 County Road 17a W
Avon Park, FL 33825-2164

Phone

(863) 452-3000

Fax

(863) 452-3029

NPI assigned

Sep 16, 2005

Last updated

May 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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

• Ernest Chung MD & Associates PA

  • Primary Care Clinic/Center
  • Saint Cloud, FL
  • NPI 1124043013
  NPD
• Infectious Disease Specialists of Central Florida , PA

  • Infectious Disease Physician
  • Kissimmee, FL
  • NPI 1003007634
  NPD
• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1568457422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 COUNTY ROAD 17A W",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252164",
            "telephone_number": "863-452-3000",
            "fax_number": "863-452-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 COUNTY ROAD 17A W",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252164",
            "telephone_number": "863-452-3000",
            "fax_number": "863-452-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-CHUNG",
        "first_name": "DELORES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME82414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "04093",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261691200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• G4S Youth Services
• Jacinta Gaitor
• Kara Nneka Galope
• Vanessa Garay
• Raisa Leslie Garcia Rodriguez
• Betsy Garter
• Adriana Gil, CRDH
• Golden Compass Elite Express LLC
• Denise Gomara, DMD
• Araceli Gomez, LCSW

• Internal Medicine Physician in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.