Organization
CHEN MEDICAL TAMIAMI AIRPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CHEN (AUTHORIZED OFFICIAL)
(305) 628-6117
Entity
Organization
Contact information
Practice address
14261 SW 120TH ST STE 112, MIAMI, FL 33186-7273
(305) 628-6117
Mailing address
1000 PARK CENTRE BLVD, SUITE 136, MIAMI, FL 33169-5373
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
02/15/2013
Last updated
02/28/2020
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