Individual
CARISSE CALANDRA FANCHON CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(786) 662-4000
Mailing address
11260 SW 71ST LN, MIAMI, FL 33173-1969
(786) 973-1741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11035995
FL
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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