Individual
LEO C CHEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
339 RACETRACK RD NW, SUITE 12, FORT WALTON BEACH, FL 32547-1538
(850) 864-3339
(850) 864-1715
Mailing address
339 RACETRACK RD NW, SUITE 12, FORT WALTON BEACH, FL 32547-1538
(850) 864-3339
(850) 864-1715
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
054597
GA
207X00000X
Orthopaedic Surgery Physician
4940494-1205
UT
207X00000X
Orthopaedic Surgery Physician
K5484
TX
207X00000X
Orthopaedic Surgery Physician
Primary
ME86347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2274459
UNITED HEALTHCARE
—
01
—
57697
BCBS OF FLORIDA
FL
01
—
7682478
AETNA
—
Enumeration date
01/24/2006
Last updated
07/08/2007
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