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NPI Code Detail

MEDICARE: MISS KARINA DOLLY ESCUDERO CHU MD

MEDICARE: MISS KARINA DOLLY ESCUDERO CHU 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
1208D00000XGeneral Practice PhysicianACN1469FL
2208D00000XGeneral Practice Physician19811PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053826156
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KARINA DOLLY ESCUDERO CHU MD
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 305-500-2000
Fax Number :
Provider Business Practice Location Address
First Line : 228 W ALEXANDER ST
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-7157
Country : US
Telephone Number : 813-535-4816
Fax Number : 877-285-9902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2017
Last Update Date : 03/25/2026

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Directions to “ MISS KARINA DOLLY ESCUDERO CHU MD” Practice Location

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