Individual
ALAIN ANTHONY CHAMOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
380 RINEHART RD, LAKE MARY, FL 32746-2551
(218) 422-9943
(321) 842-1852
Mailing address
5415 FAWN LAKE CT, SANFORD, FL 32771-7177
(386) 346-9870
(386) 463-5993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
UO4856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123295300
—
FL
05
—
UO4856
—
FL
Enumeration date
08/27/2016
Last updated
07/01/2026
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