Individual
DR. JOHN R. CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 PLATINUM PT, LAKE MARY, FL 32746-4871
(407) 206-4500
Mailing address
1285 ORANGE AVE, WINTER PARK, FL 32789-4949
(407) 647-2287
(407) 643-1300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0039277
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME0039277
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME0039277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043127300
—
FL
01
—
200014791
RAILROAD
FL
01
—
47804
BC/BS
FL
Enumeration date
07/15/2005
Last updated
03/17/2011
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