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NPI Code Detail

MEDICARE: THERESA L CHAFEL MD

MEDICARE: THERESA L CHAFEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianME71788FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
247185OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1033191333
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA L CHAFEL MD
Provider Business Mailing Address
First Line : 200 SE HOSPITAL AVE
Second Line : PATHOLOGY DEPARTMENT
City : STUART
State : FL
Zip : 34994-2346
Country : US
Telephone Number : 772-288-5853
Fax Number : 772-288-5885
Provider Business Practice Location Address
First Line : 200 SE HOSPITAL AVE
Second Line : PATHOLOGY DEPARTMENT
City : STUART
State : FL
Zip : 34994-2346
Country : US
Telephone Number : 772-288-5853
Fax Number : 772-288-5885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 03/24/2011

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