Individual
ALVIN CHACKUNGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12182 SW 122ND CT, MIAMI, FL 33186-9025
(305) 967-0066
Mailing address
12182 SW 122ND CT, MIAMI, FL 33186-9025
(305) 967-0066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9480539
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11033611
FL
Other
Enumeration date
06/12/2023
Last updated
12/08/2025
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