Individual
MOHAMED CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
468 OLD COUNTRY RD, WELLINGTON, FL 33414-4808
(561) 676-5164
Mailing address
468 OLD COUNTRY RD, WELLINGTON, FL 33414-4808
(561) 676-5164
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME50285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035289600
—
FL
Enumeration date
10/19/2005
Last updated
03/24/2016
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