Individual
ANGELLO ROMEO CHAVIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4350 SHERIDAN ST STE 102, HOLLYWOOD, FL 33021-3556
(954) 322-8586
Mailing address
15724 SW 153RD AVE, MIAMI, FL 33187-5494
(305) 726-6256
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9119641
FL
Other
Enumeration date
05/01/2023
Last updated
12/17/2024
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