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NPI Code Detail

MEDICARE: CHUN WEN CHEN M.D.

MEDICARE: CHUN WEN CHEN 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
12085R0202XDiagnostic Radiology PhysicianME104689FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CN077VOTHERFLMEDICARE PTAN
4CN077WOTHERFLMEDICARE PTAN
5CN077XOTHERFLMEDICARE PTAN
6P01667379OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2150ZFOTHERFLBCBS
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669458246
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHUN WEN CHEN M.D.
Provider Business Mailing Address
First Line : 7800 US HIGHWAY 98 W
Second Line :
City : MIRAMAR BEACH
State : FL
Zip : 32550-7228
Country : US
Telephone Number : 850-797-2119
Fax Number :
Provider Business Practice Location Address
First Line : 7800 US HIGHWAY 98 W
Second Line :
City : MIRAMAR BEACH
State : FL
Zip : 32550-7228
Country : US
Telephone Number : 850-278-3556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 06/02/2022

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Directions to “ CHUN WEN CHEN M.D.” Practice Location

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