Healthcare Provider Details

I. General information

NPI: 1316919871
Provider Name (Legal Business Name): YAT-MIN CHEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: YIH-MIN CHEN M.D.

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 09/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5350 W HILLSBORO BLVD STE. 102
COCONUT CREEK FL
33073-4396
US

IV. Provider business mailing address

5350 W HILLSBORO BLVD STE. 102
COCONUT CREEK FL
33073-4396
US

V. Phone/Fax

Practice location:
  • Phone: 954-725-7660
  • Fax: 954-725-7605
Mailing address:
  • Phone: 954-725-7660
  • Fax: 954-725-7605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME-0068694
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA054243
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number196121
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number56330
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: