Individual
HENRY G CHAVEZ CUFFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3060 LOOPDALE LN, KISSIMMEE, FL 34741-7659
(407) 775-2121
(888) 272-4324
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7782
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME167005
FL
2084P0800X
Psychiatry Physician
R0206
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371870203
—
TX
05
—
371870205
—
TX
Enumeration date
07/17/2013
Last updated
06/10/2024
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