Provider Demographics
NPI:1942228382
Name:CHOI, HARRY HYUNSIK (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:HYUNSIK
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8500 HUNTERS VILLAGE RD UNIT 202
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3797
Mailing Address - Country:US
Mailing Address - Phone:410-383-3457
Mailing Address - Fax:410-383-3468
Practice Address - Street 1:500 VONDERBURG DR STE 310
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5978
Practice Address - Country:US
Practice Address - Phone:813-324-9463
Practice Address - Fax:813-502-6390
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME160829207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD794010600Medicaid
G28194Medicare UPIN
MD794010600Medicaid