Provider Demographics
NPI:1649252370
Name:TUN, AUNG (MD)
Entity type:Individual
Prefix:DR
First Name:AUNG
Middle Name:
Last Name:TUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 48036
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-0143
Mailing Address - Country:US
Mailing Address - Phone:813-780-6687
Mailing Address - Fax:813-788-6554
Practice Address - Street 1:6833 MEDICAL VIEW LN
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-6614
Practice Address - Country:US
Practice Address - Phone:813-780-6687
Practice Address - Fax:813-788-6554
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0076187207RC0000X
FLBT 5893018174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2546809-00Medicaid
FLME0076187OtherSTATE LICENSE
FLME0076187OtherSTATE LICENSE
FLBT5893018OtherDEA NUMBER