| Doctor Name: | MS. RENE' JANELLE CHADWELL |
| NPI Number: | 1003977042 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPAS, PA-C |
| License Number: | |
| Business Practice Address: | 3511 Nw 91st Ave Doral, FL - 331721216 |
| Business Phone Number: | 3054371393 |
| Business Fax Number: | 3054371064 |
| Mailing Address: | 1617 S Goldeneye Ln, HOMESTEAD |
| State: | FL |
| Postal Code: | 330351028 |
| Phone Number: | 3052246427 |
| Fax Number: | 3052246428 |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |