Doctor Name: | RICHARD A CHAZAL |
NPI Number: | 1013974435 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME0033511 |
Business Practice Address: | 9800 S Health Park Dr Suite 320 Fort Myers, FL - 339083630 |
Business Phone Number: | 2393436350 |
Business Fax Number: | 2393436358 |
Mailing Address: | Po Box 2147, FORT MYERS |
State: | FL |
Postal Code: | 339022147 |
Phone Number: | 2394241449 |
Fax Number: | 2394241421 |
NPI Enumeration Date: | 04/28/2006 |
NPI Last Update Date: | 05/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | ME0033511 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |