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NPI Code Detail

MEDICARE: ALFONSO CHEN MDPA

MEDICARE: ALFONSO CHEN MDPA
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1467577841
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALFONSO CHEN MDPA
Provider Business Mailing Address
First Line : 14505 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33613-2789
Country : US
Telephone Number : 813-971-5533
Fax Number : 813-910-7828
Provider Business Practice Location Address
First Line : 14505 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33613-2789
Country : US
Telephone Number : 813-971-5533
Fax Number : 813-910-7828
Authorized Official
Title or Position : PRESIDENT CEO
Name : ALFONSO CHEN
Credential : MD
Telephone Number : 813-971-5533
Provider Enumeration Date : 03/21/2007
Last Update Date : 08/22/2020

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