Individual
DR. JENNIFER L CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4000
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4000
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
25MB09216400
NJ
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
OS14070
FL
208M00000X
Hospitalist Physician
OS14070
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376780048
—
NJ
Enumeration date
11/17/2009
Last updated
09/30/2021
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