MEDICARE: DR. RON CHATTERJEE M.D.

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
1	208100000X	Physical Medicine & Rehabilitation Physician	ME117651	FL

General Provider Information

NPI Number	:	1124292883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RON CHATTERJEE M.D.

Provider Business Mailing Address
First Line	:	2010 SOHO BAY CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606
Country	:	US
Telephone Number	:	330-348-4622
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 W DR MARTIN LUTHER KING JR BLVD STE 590
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6000
Country	:	US
Telephone Number	:	813-534-6269
Fax Number	:	813-870-0008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2008
Last Update Date	:	04/03/2018

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