Individual
HOLLIS RICARDO CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15038 SW 35TH ST, DAVIE, FL 33331-2729
(954) 474-5080
(954) 577-5671
Mailing address
15038 SW 35TH ST, DAVIE, FL 33331-2729
(954) 474-5080
(954) 577-5671
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME 85971
FL
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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