Healthcare Provider Details

I. General information

NPI: 1083110548
Provider Name (Legal Business Name): ALLISON K BARCHI-CHUNG APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 09/02/2022
Certification Date: 09/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 CLEVELAND CLINIC BLVD
WESTON FL
33331-3625
US

IV. Provider business mailing address

7828 NW 108TH CT
DORAL FL
33178-6044
US

V. Phone/Fax

Practice location:
  • Phone: 954-659-5840
  • Fax: 954-659-5810
Mailing address:
  • Phone: 305-801-5649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9429218
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: