Doctor Name: | MALIKA M CHACON |
NPI Number: | 1437403607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MA57939 |
Business Practice Address: | 14616 Nw 140th St Alachua, FL - 326156261 |
Business Phone Number: | 3523174713 |
Business Fax Number: | |
Mailing Address: | 15092 Nw 147th Dr, ALACHUA |
State: | FL |
Postal Code: | 326155305 |
Phone Number: | 3523174713 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2012 |
NPI Last Update Date: | 11/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305S00000X |
License Number: | MA57939 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Point of Service |
Taxonomy Specialization: | |
Taxonomy Definition: | This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |