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NPI Code Detail

MEDICARE: DR. JONATHAN CHUA M.D.

MEDICARE: DR. JONATHAN 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
1207W00000XOphthalmology PhysicianME14324FL

General Provider Information

NPI Number : 1578625570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN CHUA M.D.
Provider Business Mailing Address
First Line : 1717 W WOOLBRIGHT RD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-6319
Country : US
Telephone Number : 561-737-5500
Fax Number : 561-737-7055
Provider Business Practice Location Address
First Line : 1717 W WOOLBRIGHT RD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-6319
Country : US
Telephone Number : 561-737-5500
Fax Number : 561-737-7055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2006
Last Update Date : 07/09/2007

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Directions to “ DR. JONATHAN CHUA M.D.” Practice Location

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