Individual
DR. RENE CHALOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6535 NEMOURS PKWY, ORLANDO, FL 32827-7884
(407) 567-4000
(407) 567-5924
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
188193
NY
208000000X
Pediatrics Physician
25MA05756000
NJ
208000000X
Pediatrics Physician
C1-0011572
DE
208000000X
Pediatrics Physician
M13113
ID
2080P0203X
Pediatric Critical Care Medicine Physician
25MA05756000
NJ
2080P0203X
Pediatric Critical Care Medicine Physician
ME120876
FL
2080P0203X
Pediatric Critical Care Medicine Physician
MTL-2018-011
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014372000
—
FL
Enumeration date
03/24/2006
Last updated
04/29/2025
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