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NPI Code Detail

MEDICARE: JEAN-PIERRE CHACON A.P.

MEDICARE:   JEAN-PIERRE  CHACON  A.P.
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
1171100000XAcupuncturistAP2322FL

General Provider Information

NPI Number : 1063617652
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN-PIERRE CHACON A.P.
Provider Business Mailing Address
First Line : 291 N MELROSE DR
Second Line :
City : MIAMI SPRINGS
State : FL
Zip : 33166-5027
Country : US
Telephone Number : 305-298-8489
Fax Number :
Provider Business Practice Location Address
First Line : 240 CRANDON BLVD
Second Line : SUITE 207
City : KEY BISCAYNE
State : FL
Zip : 33149-1543
Country : US
Telephone Number : 305-298-8489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2007
Last Update Date : 07/19/2011

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Directions to “ JEAN-PIERRE CHACON A.P.” Practice Location

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