Organization
CHAVEZ JO INTERNAL MEDICINE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIUSCA CHAVEZ M.D. (VICE-PRESIDENT)
(772) 388-9066
Entity
Organization
Contact information
Practice address
1636 N CENTRAL AVE, SUITE 100, SEBASTIAN, FL 32958-3808
(772) 388-9066
(772) 388-9067
Mailing address
1636 N CENTRAL AVE, SUITE 100, SEBASTIAN, FL 32958-3808
(772) 388-9066
(772) 388-9067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 102747
FL
Other
Enumeration date
09/15/2008
Last updated
06/22/2009
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