Healthcare Provider Details

I. General information

NPI: 1811123623
Provider Name (Legal Business Name): CHENMED RX MIAMI LAKES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2009
Last Update Date: 06/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5961 NW 173RD DR
HIALEAH FL
33015-5114
US

IV. Provider business mailing address

5961 NW 173RD DR
HIALEAH FL
33015-5114
US

V. Phone/Fax

Practice location:
  • Phone: 305-556-7500
  • Fax:
Mailing address:
  • Phone: 305-556-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. CHRISTOPHER J. CHEN
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 305-556-7500