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Organization
PEDRO Y. CHAN, R.PH., DO, PA
Active
Organization
PEDRO Y. CHAN, R.PH., DO, PA
Active
Other names
Oviedo Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO Y CHAN R.PH., D.O. (PRESIDENT)
(407) 365-9010
Entity
Organization
Contact information
Practice address
101 LAKE HAYES RD, STE 101, OVIEDO, FL 32765-9097
(407) 365-9010
Mailing address
101 LAKE HAYES RD, STE 101, OVIEDO, FL 32765-9097
(407) 365-9010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046866500
—
FL
Enumeration date
09/03/2006
Last updated
11/01/2011
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