Individual
CHANDANI PATEL CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8960 COLONIAL CENTER DR STE 202, FORT MYERS, FL 33905-7810
(239) 343-9646
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9646
(239) 343-9681
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
155486
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME155486
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115121800
—
FL
Enumeration date
04/20/2017
Last updated
10/11/2022
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