Individual
CARMEN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(305) 674-2345
(305) 674-9723
Mailing address
1230 W 54TH ST APT 124A, HIALEAH, FL 33012-3001
(305) 801-1758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9332061
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ15236600
NJ
367500000X
Certified Registered Nurse Anesthetist
APRN11000846
FL
Other
Enumeration date
10/29/2018
Last updated
05/13/2025
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