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Individual

JERRY CHAN-HSIANG CHIH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 N HIATUS RD STE 105, PEMBROKE PINES, FL 33026-5214
(954) 431-8000
(954) 436-0449
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 431-8000
(954) 436-0449

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
63266
TN
208000000X
Pediatrics Physician
Primary
ME166665
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122776800
FL
Enumeration date
04/23/2018
Last updated
11/07/2024
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