Provider Demographics
NPI:1053500124
Name:RONALD AUNG-DIN, M.D., P.A.
Entity Type:Organization
Organization Name:RONALD AUNG-DIN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:AUNG-DIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-342-9477
Mailing Address - Street 1:3501 CATTLEMEN RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6054
Mailing Address - Country:US
Mailing Address - Phone:941-342-9477
Mailing Address - Fax:941-342-9488
Practice Address - Street 1:3501 CATTLEMEN RD
Practice Address - Street 2:SUITE A
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6054
Practice Address - Country:US
Practice Address - Phone:941-342-9477
Practice Address - Fax:941-342-9488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00352922084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL130001959OtherRAILROAD MEDICARE
FL625898OtherAETNA
FL4545617001OtherCIGNA
FL045303000Medicaid
FL58497OtherBCBSFL
FL21298Medicare PIN
FL045303000Medicaid