Healthcare Provider Details

I. General information

NPI: 1851362032
Provider Name (Legal Business Name): STEVEN ALLAN CHASENS AP
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 S DOUGLAS RD SUITE 501
MIAMI FL
33133-2754
US

IV. Provider business mailing address

2645 S DOUGLAS RD SUITE 501
MIAMI FL
33133-2754
US

V. Phone/Fax

Practice location:
  • Phone: 305-446-3009
  • Fax: 305-446-3014
Mailing address:
  • Phone: 305-446-3009
  • Fax: 305-446-3014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP785
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: