Organization
CHEN MEDICAL PEMBROKE PINES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CHEN (CEO)
(305) 653-1770
Entity
Organization
Contact information
Practice address
8529 PINES BLVD, PEMBROKE PINES, FL 33024-6611
(305) 653-1770
Mailing address
1000 PARK CENTRE BLVD, #136, MIAMI, FL 33169-5373
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
09/24/2012
Last updated
09/25/2012
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