Rebecca C. Tung
Dermatologist MOHS-Micrographic Surgeon
1450 6th St Se
Winter Haven
, Florida 33880-4505
Rebecca C. Tung
Dermatologist MOHS-Micrographic Surgeon
1450 6th St Se
Winter Haven
, Florida 33880-4505
(863) 294-2767
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Rebecca C. Tung
- 1450 6th St Se
- Winter Haven, FL
- Zip : 33880-4505
- Fax : (863) 294-2767
- Phone : (863) 293-2147
Second Address
- Rebecca C. Tung
- 1450 6th St Se
- Winter Haven, FL
- Zip : 33880-4505
- Fax : (863) 294-2767
- Phone : (855) 353-7546
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 036124020 | IL |
| N | 207N00000X | Dermatologist | 35077947 | OH |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 036124020 | IL |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | ME138354 | FL |
National Provider Identifier
| NPI | 1174574941 |
|---|---|
| Provider Name | Rebecca C. Tung |
| First Address | Winter Haven, FL 33880-4505 |
| Second Address | Winter Haven, FL 33880-4505 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2006 |
| Last Update Date | 17/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2181535 | (05) | OH |
| H16160 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.