| Doctor Name: | IOAN SAMSON CIUNGU |
| NPI Number: | 1841402468 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 43337 |
| Business Practice Address: | 4455 Sam Mitchell Dr Chipley, FL - 324283501 |
| Business Phone Number: | 8507732680 |
| Business Fax Number: | 8507736278 |
| Mailing Address: | 103 Shadow Bay Dr, PANAMA CITY BEACH |
| State: | FL |
| Postal Code: | 324072840 |
| Phone Number: | 8502359903 |
| Fax Number: | 8507736278 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 43337 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |