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NPI Code Detail

MEDICARE: CHEN MEDICAL LAUDERHILL INC

MEDICARE: CHEN MEDICAL LAUDERHILL INC
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
1332900000XNon-Pharmacy Dispensing Site
2174400000XSpecialist

General Provider Information

NPI Number : 1649521238
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHEN MEDICAL LAUDERHILL INC
Provider Business Mailing Address
First Line : 1000 PARK CENTRE BLVD
Second Line : #136
City : MIAMI
State : FL
Zip : 33169-5373
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2589 N STATE ROAD 7
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33313-2778
Country : US
Telephone Number : 305-653-1770
Fax Number :
Authorized Official
Title or Position : CEO
Name : MARY CHEN
Credential :
Telephone Number : 305-653-1770
Provider Enumeration Date : 09/24/2012
Last Update Date : 10/30/2015

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Directions to “CHEN MEDICAL LAUDERHILL INC ” Practice Location

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