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NPI Code Detail

MEDICARE: CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA LLC

MEDICARE: CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA LLC
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 : 1679837280
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA LLC
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 : 2230 NW 95TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33147-2414
Country : US
Telephone Number : 305-827-2977
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : MARY CHEN
Credential :
Telephone Number : 305-628-6117
Provider Enumeration Date : 06/28/2012
Last Update Date : 08/25/2020

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Directions to “CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA LLC ” Practice Location

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