Provider Demographics
NPI:1912940677
Name:CHUN, STEVEN Y (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:Y
Last Name:CHUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6310 HEALTH PARK WAY
Mailing Address - Street 2:STE. 320
Mailing Address - City:LAKEWOOD RANCH (BARDENTON)
Mailing Address - State:FL
Mailing Address - Zip Code:34202
Mailing Address - Country:US
Mailing Address - Phone:941-361-1123
Mailing Address - Fax:941-361-1124
Practice Address - Street 1:6310 HEALTH PARK WAY
Practice Address - Street 2:STE. 320
Practice Address - City:LAKEWOOD RANCH (BARDENTON)
Practice Address - State:FL
Practice Address - Zip Code:34202
Practice Address - Country:US
Practice Address - Phone:941-361-1123
Practice Address - Fax:941-361-1124
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME73435207LP2900X
FLME0073435207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252438400Medicaid
FL252438400Medicaid
FLG51842Medicare UPIN
G51842Medicare UPIN
41701YMedicare ID - Type Unspecified