Healthcare Provider Details

I. General information

NPI: 1285840066
Provider Name (Legal Business Name): VICTOR J CHIN AP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: LINOR W YUEN AP PT

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 01/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 COLLINS AVE # CU12
MIAMI BEACH FL
33140-2573
US

IV. Provider business mailing address

5401 COLLINS AVE # CU12
MIAMI BEACH FL
33140-2573
US

V. Phone/Fax

Practice location:
  • Phone: 305-866-6911
  • Fax: 305-864-1274
Mailing address:
  • Phone: 305-866-6911
  • Fax: 305-864-1274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP000199
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP0000099
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT0002038
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: