Individual
MR. CHAVARA CHACKO ANTOCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 660-9061
Mailing address
10402 ROCKY RIVER CT, TAMPA, FL 33647-3153
(813) 727-8646
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT17296
FL
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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