Organization
ST.JOHN'S MEDICAL CLINIC,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHI-SHANG CHEN M.D (OWNER)
(813) 972-1282
Entity
Organization
Contact information
Practice address
12001 N NEBRASKA AVE, TAMPA, FL 33612-5343
(813) 972-1282
(813) 978-1677
Mailing address
12001 N NEBRASKA AVE, TAMPA, FL 33612-5343
(813) 972-1282
(813) 978-1677
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME41425
FL
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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