Healthcare Provider Details

I. General information

NPI: 1588934764
Provider Name (Legal Business Name): MARIA L CHIU P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2012
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 NE 167TH ST STE 600
NORTH MIAMI BEACH FL
33162-3402
US

IV. Provider business mailing address

1 NE 167TH ST STE 600
NORTH MIAMI BEACH FL
33162-3402
US

V. Phone/Fax

Practice location:
  • Phone: 305-432-9565
  • Fax: 305-432-9567
Mailing address:
  • Phone: 305-432-9565
  • Fax: 305-573-9669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number9106316
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: