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NPI Code Detail

MEDICARE: THOMAS EUGENE CHAMBERS JR. DO

MEDICARE: THOMAS EUGENE CHAMBERS JR. DO
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
1207Q00000XFamily Medicine PhysicianOS4276FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3080024504OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
182387OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184676801
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS EUGENE CHAMBERS JR. DO
Provider Business Mailing Address
First Line : 900 S GOLDENROD RD
Second Line : SUITE B
City : ORLANDO
State : FL
Zip : 32822-8113
Country : US
Telephone Number : 407-275-1160
Fax Number : 407-275-3991
Provider Business Practice Location Address
First Line : 900 S GOLDENROD RD
Second Line : SUITE B
City : ORLANDO
State : FL
Zip : 32822-8113
Country : US
Telephone Number : 407-275-1160
Fax Number : 407-275-3991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 04/30/2012

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