Provider Demographics
NPI:1073513370
Name:SCHANG, STEVEN J (MD FACC FACP)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:SCHANG
Suffix:
Gender:M
Credentials:MD FACC FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 EAST CERVANTES ST.
Mailing Address - Street 2:SUITE B123
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-3286
Mailing Address - Country:US
Mailing Address - Phone:850-324-6915
Mailing Address - Fax:
Practice Address - Street 1:10 PORT ROYAL WAY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-5774
Practice Address - Country:US
Practice Address - Phone:850-324-6915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME16464207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0578983 00Medicaid
FL46106ZMedicare ID - Type Unspecified
FLD54947Medicare UPIN
FL0578983 00Medicaid