Individual
DR. RONNI M CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 VONDERBURG DR, 101, BRANDON, FL 33511-5982
(813) 681-1122
(813) 684-4924
Mailing address
403 VONDERBURG DR, BRANDON, FL 33511-5982
(813) 681-1122
(813) 684-4924
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME0070200
FL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
ME70200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0805361
UNITED HEALTHCARE
FL
01
—
2074439
AETNA
FL
05
—
250394800
—
FL
05
—
250394801
—
FL
01
—
6204971
CIGNA
FL
Enumeration date
06/21/2006
Last updated
09/11/2020
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