MEDICARE: DR. NADINE B CHIPON SCHOEPP 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
1	207Q00000X	Family Medicine Physician	OS10903	FL

General Provider Information

NPI Number	:	1902046527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NADINE B CHIPON SCHOEPP DO

Provider Business Mailing Address
First Line	:	1210 NW 95TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33147-3318
Country	:	US
Telephone Number	:	305-691-1820
Fax Number	:	305-694-8450

Provider Business Practice Location Address
First Line	:	1210 NW 95TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33147-3318
Country	:	US
Telephone Number	:	305-691-1820
Fax Number	:	305-694-8450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2009
Last Update Date	:	11/04/2015

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