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Individual

DR. CLAUDIA L CHAVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2629 N FOREST RIDGE BLVD, HERNANDO, FL 34442-5123
(352) 527-2775
Mailing address
2312 HANNAH WAY S, DUNEDIN, FL 34698-9453
(727) 641-7485
(727) 771-1920

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0742
NH
152W00000X
Optometrist
Primary
OPC3787
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3759970
CIGNA PROVIDER ID
FL
05
620979300
FL
01
68155
BCBS-FLORIDA PROVIDER ID
FL
01
7052609
AETNA PROVIDER ID
FL
Enumeration date
03/31/2006
Last updated
03/17/2018
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