Individual
TAISEI CHIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20000 NW 27TH AVE, MIAMI GARDENS, FL 33056-2674
(803) 477-4339
Mailing address
1420 NW 79TH TER, PEMBROKE PINES, FL 33024-5131
(803) 477-4339
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2025
Last updated
07/03/2025
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