Healthcare Provider Details

I. General information

NPI: 1104050608
Provider Name (Legal Business Name): CHAVFIELD MEDICAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2009
Last Update Date: 10/31/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7765 SW 87TH AVE STE 110A
MIAMI FL
33173-2535
US

IV. Provider business mailing address

7765 SW 87TH AVE STE 110A
MIAMI FL
33173-2535
US

V. Phone/Fax

Practice location:
  • Phone: 305-252-5584
  • Fax: 305-232-7868
Mailing address:
  • Phone: 305-252-5584
  • Fax: 305-232-7868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. LILLIE CRITCHFIELD
Title or Position: PRESIDENT
Credential:
Phone: 305-253-5584