Healthcare Provider Details

I. General information

NPI: 1275664591
Provider Name (Legal Business Name): LOUIS B CHAYKIN, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21110 BISCAYNE BOULEVARD SUITE 205
AVENTURA FL
33180-1227
US

IV. Provider business mailing address

21110 BISCAYNE BOULEVARD SUITE 205
AVENTURA FL
33180-1227
US

V. Phone/Fax

Practice location:
  • Phone: 305-931-3269
  • Fax: 305-931-4867
Mailing address:
  • Phone: 305-931-3269
  • Fax: 305-931-4867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME 0012244
License Number StateFL

VIII. Authorized Official

Name: DR. LOUIS BERNARD CHAYKIN
Title or Position: OWNER
Credential: M.D.,F.A.C.E,F.A.C.P
Phone: 305-931-3269