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Individual
DR. IAN LEVY CHUA
Active
Individual
DR. IAN LEVY CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME113091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009691100
—
FL
01
—
ME113091
LICENSE
FL
Enumeration date
06/23/2009
Last updated
11/11/2016
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