Organization Name: | CHEN NEIGHBORHOOD MEDICAL LAUDERHILL, LLC |
NPI Number: | 1205265725 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER JAMES CHEN (OWNER) |
Mailing Address: | 2589 N. State Road 7 Lauderhill |
State: | FL US |
Postal Code: | 33313 |
Phone Number: | 9547141264 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2013 |
NPI Last Update Date: | 11/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332900000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Non-Pharmacy Dispensing Site |
Taxonomy Specialization: | |
Taxonomy Definition: | A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |