Individual
JOSE A CHAMORRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 SW 37TH AVE, STE 503, MIAMI, FL 33133-2700
(305) 446-2380
(305) 446-8243
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME 45485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001896
NHP
FL
05
—
043415900
—
FL
01
—
160364
WELLCARE
FL
01
—
1744855
CIGNA
FL
01
—
1896
DIMENSION
FL
01
—
218108
AVMED
FL
01
—
4072662
AETNA
FL
01
—
96934
BCBS
FL
01
—
P01551
FREEDOM
FL
01
—
P01627843
RR MEDICARE
FL
01
—
P01703687
SIMPLY
FL
01
—
P974912
OPTIMUM
FL
Enumeration date
02/06/2006
Last updated
11/10/2016
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