Organization
ADIB ANTOINE CHIDIAC, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADIB ANTOINE CHIDIAC M.D. (DOCTOR)
(954) 366-6039
Entity
Organization
Contact information
Practice address
601 E SAMPLE RD STE 103, DEERFIELD BEACH, FL 33064-4443
(954) 366-6039
(954) 366-6851
Mailing address
3700 NE 31ST AVE, LIGHTHOUSE POINT, FL 33064-8431
(954) 366-6039
(954) 366-6851
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370810100
—
FL
01
—
39167
PTAN
FL
Enumeration date
03/29/2007
Last updated
05/15/2024
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