Individual
CHUN WEN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7800 US HIGHWAY 98 W, MIRAMAR BEACH, FL 32550-7228
(850) 278-3556
Mailing address
7800 US HIGHWAY 98 W, MIRAMAR BEACH, FL 32550-7228
(850) 797-2119
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME104689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001359200
—
FL
01
—
150ZF
BCBS
FL
01
—
CN077V
MEDICARE PTAN
FL
01
—
CN077W
MEDICARE PTAN
FL
01
—
CN077X
MEDICARE PTAN
FL
01
—
P01667379
RAILROAD MEDICARE
FL
Enumeration date
12/15/2005
Last updated
06/02/2022
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