Individual
DR. CAROLINE O. CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13535 NEMOURS PKWY, NEMOURS CHILDRENS HOSPITAL, ORLANDO, FL 32827-7402
(407) 567-4000
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME109649
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME109649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14N92
BCBS FL
FL
Enumeration date
04/07/2009
Last updated
06/12/2018
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