Provider Demographics
NPI:1619964400
Name:CHOI, SEAN SHEUNG-FU (DO)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:SHEUNG-FU
Last Name:CHOI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:SEAN
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 536942
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32853-6942
Mailing Address - Country:US
Mailing Address - Phone:407-895-9318
Mailing Address - Fax:407-895-9316
Practice Address - Street 1:1900 N MILLS AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1444
Practice Address - Country:US
Practice Address - Phone:407-895-9318
Practice Address - Fax:507-895-9316
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0008419207PE0004X
FLOS8419207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL261356500Medicaid
FL26013ZMedicare ID - Type Unspecified
FL261356500Medicaid