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Chen Neighborhood Medical Hallandale, LLC

Specialist in Hallandale Beach, FL. Organization (NPI-2).

NPI number1851720007
StatusActive
Last updated in NPPESNov 19, 2013

Details

NPI
1851720007
Entity type
Organization (NPI-2)
Legal business name
Chen Neighborhood Medical Hallandale, LLC
Organization subpart
Yes
Enumeration date
Nov 8, 2013
Last updated
Nov 19, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistME88821FLYes
332900000X Non-Pharmacy Dispensing Site––

Practice location

410 East Hallandale Beach Blvd
Hallandale Beach, FL 33009

Phone 954-454-5777

Mailing address

1000 Park Centre Blvd #136
Miami, FL 33169

Authorized official

Christopher James Chen
Owner
3056286117

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