Organization
BLUE SEAS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA CHIONG DO (OWNER)
(772) 247-7389
Entity
Organization
Contact information
Practice address
5850 SE COMMUNITY DR, STUART, FL 34997-6420
(772) 247-7389
Mailing address
PO BOX 2998, STUART, FL 34995-2998
(772) 247-7389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS9508
FL
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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