Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | ME 107369 | FL |
NPI | 1124227780 |
---|---|
Provider Name | Dr. Jingsong Zhang |
First Address | Tampa, FL 33612-9416 |
Second Address | Tampa, FL 33612-9416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2007 |
Last Update Date | 30/04/2015 |