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NPI Code Detail

MEDICARE: CHASE ALLEN FOREHAND MD

MEDICARE: CHASE ALLEN FOREHAND MD
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
1207P00000XEmergency Medicine PhysicianME179232FL

General Provider Information

NPI Number : 1407541733
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASE ALLEN FOREHAND MD
Provider Business Mailing Address
First Line : 2293 HATHAWAY MILL RD
Second Line :
City : CARYVILLE
State : FL
Zip : 32425-5301
Country : US
Telephone Number : 850-849-2422
Fax Number :
Provider Business Practice Location Address
First Line : 3500 GASTON AVE
Second Line :
City : DALLAS
State : TX
Zip : 75246-2088
Country : US
Telephone Number : 214-820-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2023
Last Update Date : 06/02/2026

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Directions to “ CHASE ALLEN FOREHAND MD” Practice Location

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