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Organization
ADIB ANTOINE CHIDIAC, M.D., P.A.
Active
Organization
ADIB ANTOINE CHIDIAC, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADIB ANTOINE CHIDIAC M.D. (DOCTOR)
(954) 366-6039
Entity
Organization
Contact information
Practice address
601 E SAMPLE RD STE 103, DEERFIELD BEACH, FL 33064-4443
(954) 366-6039
(954) 366-6851
Mailing address
3700 NE 31ST AVE, LIGHTHOUSE POINT, FL 33064-8431
(954) 366-6039
(954) 366-6851
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370810100
—
FL
01
—
39167
PTAN
FL
Enumeration date
03/29/2007
Last updated
05/15/2024
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