Individual
ANDREW D CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12091 SW 152ND ST, MIAMI, FL 33177-1607
(305) 232-3937
(305) 232-3936
Mailing address
12091 SW 152ND ST, MIAMI, FL 33177-1607
(305) 232-3937
(305) 232-3936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC3220
MEDICAL LICENSE
FL
Enumeration date
11/14/2006
Last updated
09/19/2012
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