Provider Demographics
NPI:1366693921
Name:YI, DAVID CHANG (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:CHANG
Last Name:YI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12301 LAKE UNDERHILL ROAD
Mailing Address - Street 2:SUITE 118
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828
Mailing Address - Country:US
Mailing Address - Phone:407-249-8870
Mailing Address - Fax:407-249-8871
Practice Address - Street 1:12301 LAKE UNDERHILL ROAD
Practice Address - Street 2:SUITE 118
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828
Practice Address - Country:US
Practice Address - Phone:407-249-8870
Practice Address - Fax:407-249-8871
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2022-07-18
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Provider Licenses
StateLicense IDTaxonomies
FLME103801207R00000X, 208000000X
FLME102801208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics