Individual
EDGARD CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1636 N CENTRAL AVE, SUITE 100, SEBASTIAN, FL 32958-3808
(772) 388-9066
(772) 388-9067
Mailing address
3897 PEACOCK DR, MELBOURNE, FL 32904-9516
(321) 745-5954
(772) 388-9067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME104256
FL
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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