Individual
DR. CHAD DOUGLAS HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
148 13TH ST SW, LARGO, FL 33770-3127
(727) 581-8706
(727) 588-2447
Mailing address
PO BOX 2410, LARGO, FL 33779-2410
(727) 581-8706
(727) 588-2447
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
283394
NY
207W00000X
Ophthalmology Physician
Primary
ME150884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04375339
—
NY
05
—
114620600
—
FL
Enumeration date
06/01/2011
Last updated
08/02/2022
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