Dr Son L Chau Pa | |
1287 N Semoran Blvd 200 Orlando FL 32807-3534 | |
(407) 273-9410 | |
Not Available |
Full Name | Dr Son L Chau Pa |
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Speciality | Internal Medicine |
Location | 1287 N Semoran Blvd, Orlando, Florida |
Authorized Official Name and Position | Son Chau (OWNER) |
Authorized Official Contact | 4072739410 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Son L Chau Pa 1287 N Semoran Blvd 200 Orlando FL 32807-3534 Ph: () - | Dr Son L Chau Pa 1287 N Semoran Blvd 200 Orlando FL 32807-3534 Ph: (407) 273-9410 |
NPI Number | 1972726842 |
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Provider Enumeration Date | 04/10/2007 |
Last Update Date | 07/21/2010 |
Medicare PECOS PAC ID | 4486678414 |
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Medicare Enrollment ID | O20060118000084 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972726842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME56062 (Florida) | Primary |
Provider Name | Son Chau |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023006111 PECOS PAC ID: 9436173465 Enrollment ID: I20100728000168 |
Provider Name | Quynhan Nguyan Chau |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942628235 PECOS PAC ID: 4587881032 Enrollment ID: I20180713001873 |
Provider Name | Huy Le |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225490063 PECOS PAC ID: 6103110283 Enrollment ID: I20190528000701 |
Provider Name | Thi Tran |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750037578 PECOS PAC ID: 5799170999 Enrollment ID: I20220325001456 |
Provider Name | Sandy Do |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720857139 PECOS PAC ID: 1355785783 Enrollment ID: I20240214000140 |
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