Individual
JASON CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-3523
Mailing address
627 EMORY OAK CT, KNOXVILLE, TN 37909-3440
(214) 714-5289
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME136426
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/03/2013
Last updated
07/18/2018
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