Individual
ALEXANDER VLADIMIR CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1087
(305) 325-5511
Mailing address
19530 SW 123RD CT, MIAMI, FL 33177-4961
(786) 370-0239
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11036817
FL
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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