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Individual

TA CHEN PETER CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 243-2020
(305) 326-6306
Mailing address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 243-2020
(305) 326-6306

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A96195
CA
207W00000X
Ophthalmology Physician
Primary
ME103859
FL

Other

Enumeration date
11/12/2007
Last updated
05/28/2013
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