Provider Demographics
NPI:1699429688
Name:FUNG-ON, STEVEN MATTHEW (PA-C)
Entity type:Individual
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First Name:STEVEN
Middle Name:MATTHEW
Last Name:FUNG-ON
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:3375 GRASSY LAKE VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34715-6859
Mailing Address - Country:US
Mailing Address - Phone:954-298-7047
Mailing Address - Fax:
Practice Address - Street 1:5420 WEST LOOP S STE 1100
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2115
Practice Address - Country:US
Practice Address - Phone:713-486-5590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-08
Last Update Date:2023-06-01
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant