MEDICARE: DR. ROBERT K CHUA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME0071141	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245215375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT K CHUA M.D.

Provider Business Mailing Address
First Line	:	1109 NE JENSEN BEACH BLVD
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4707
Country	:	US
Telephone Number	:	772-335-9600
Fax Number	:	772-225-2341

Provider Business Practice Location Address
First Line	:	1109 NE JENSEN BEACH BLVD
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4707
Country	:	US
Telephone Number	:	772-335-9600
Fax Number	:	772-225-2341

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	02/01/2022

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