Individual
DR. EDWIN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1810 ELDRON BLVD SE, PALM BAY, FL 32909-6831
(321) 576-0645
(321) 409-6812
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 576-0645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME104439
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VB775
MEDICARE HF
FL
Enumeration date
03/17/2007
Last updated
09/11/2025
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