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Organization

CHRISTOPHER CHIEN D. MAI, MD,PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER CHIEN MAI M.D. (OWNER/PROVIDER)
(386) 427-3767
Entity
Organization

Contact information

Practice address
821 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-7271
(386) 427-3767
(386) 423-2516
Mailing address
821 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-7271
(386) 427-3767
(386) 423-2516

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME80709
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
259288600
FL
Enumeration date
07/16/2012
Last updated
07/16/2012
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