Individual
CHAD DATHON SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
86 W UNDERWOOD ST, SUITE 201, ORLANDO, FL 32806-1110
(321) 841-5142
(407) 648-3686
Mailing address
86 W UNDERWOOD ST, SUITE 201, ORLANDO, FL 32806-1110
(321) 841-5142
(407) 648-3686
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TRN15234
FL
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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