| Hernan Robert Chang, MD | |
|
3627 University Blvd S, Suite 615, Jacksonville, FL 32216-4230 | |
| (904) 399-1623 | |
| (904) 399-1624 |
| Full Name | Hernan Robert Chang |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Infectious Disease |
| Location | 3627 University Blvd S, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891720629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME88878 (Florida) | Primary |
| 208M00000X | Hospitalist | ME88878 (Florida) | Secondary |
| Entity Name | Jacksonville Multispecialty Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609951938 PECOS PAC ID: 3476550591 Enrollment ID: O20061103000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Hernan Robert Chang, MD Po Box 17577, Jacksonville, FL 32245-7577 Ph: (904) 399-1623 | Hernan Robert Chang, MD 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-4230 Ph: (904) 399-1623 |
Dr. Jami Ann Rothe Kinnucan, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |