Individual
THERESA L CHAFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 SE HOSPITAL AVE, PATHOLOGY DEPARTMENT, STUART, FL 34994-2346
(772) 288-5853
(772) 288-5885
Mailing address
200 SE HOSPITAL AVE, PATHOLOGY DEPARTMENT, STUART, FL 34994-2346
(772) 288-5853
(772) 288-5885
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME71788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257563900
—
FL
01
—
47185
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/14/2005
Last updated
03/24/2011
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