Individual
ERIC SCOTT CHENVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E BROWARD BLVD, FORT LAUDERDALE, FL 33301-2134
(954) 463-6408
(954) 463-1858
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME87659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000056842Z
HUMANA
FL
01
—
10201
DIMENSION HEALTH
FL
01
—
1192963
WELLCARE
FL
01
—
11985
MEDICA
FL
05
—
2677903-00
—
FL
01
—
6902213
CIGNA
FL
01
—
79056
BLUECROSS BLUESHIELD OF FL
FL
01
—
P0003137
FLORIDA HEALTHCARE PLUS
FL
01
—
P00731868
RAILROAD MEDICARE
FL
01
—
PRL00000274253
PREFERRED MEDICAL PLAN (COMM/MEDICARE)
FL
Enumeration date
11/02/2005
Last updated
04/28/2016
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