Individual
DR. STANISLAV CHAVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2181 ORANGE AVE E, TALLAHASSEE, FL 32311-6144
(850) 513-7310
Mailing address
2181 ORANGE AVE E, TALLAHASSEE, FL 32311-6144
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
018654
PR
208D00000X
General Practice Physician
ACN 722
FL
Other
Enumeration date
02/25/2014
Last updated
11/15/2021
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