Healthcare Provider Details

I. General information

NPI: 1467450171
Provider Name (Legal Business Name): RONALD ANDREW CHEE-AWAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 11/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4325 SUN 'N LAKE BLVD, SUITE 105 FHHMC UROLOGY SPECIALISTS
SEBRING FL
33872
US

IV. Provider business mailing address

4325 SUN 'N LAKE BLVD, SUITE 105 FHHMC UROLOGY SPECIALISTS
SEBRING FL
33872
US

V. Phone/Fax

Practice location:
  • Phone: 863-382-2248
  • Fax: 863-382-1242
Mailing address:
  • Phone: 863-382-2248
  • Fax: 863-382-1242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberME128899
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number14270R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: