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NPI Code Detail

MEDICARE: DR. ALFONSO CHEN MD

MEDICARE: DR. ALFONSO CHEN 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
12084P0800XPsychiatry PhysicianME0057574FL

General Provider Information

NPI Number : 1649222514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALFONSO CHEN MD
Provider Business Mailing Address
First Line : 14505 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33613-2789
Country : US
Telephone Number : 813-971-5533
Fax Number : 813-910-7828
Provider Business Practice Location Address
First Line : 14505 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33613-2789
Country : US
Telephone Number : 813-971-5533
Fax Number : 813-910-7828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 01/27/2010

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Directions to “ DR. ALFONSO CHEN MD” Practice Location

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