| Vincent C Chin M.d., P.a. | |
|
19411 Nw 2nd Ave Miami FL 33169-3314 | |
| (305) 653-5056 | |
| (305) 652-2140 |
| Full Name | Vincent C Chin M.d., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 19411 Nw 2nd Ave, Miami, Florida |
| Authorized Official Name and Position | Vincent Charley Chin (PRESIDENT) |
| Authorized Official Contact | 3056535056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent C Chin M.d., P.a. 19411 Nw 2nd Ave Miami FL 33169-3314 Ph: (305) 653-5056 | Vincent C Chin M.d., P.a. 19411 Nw 2nd Ave Miami FL 33169-3314 Ph: (305) 653-5056 |
| NPI Number | 1821391996 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 12/13/2010 |
| Medicare PECOS PAC ID | 6103003157 |
|---|---|
| Medicare Enrollment ID | O20110531000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821391996 | NPI | - | NPPES |
| 065607100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 035766 (Florida) | Primary |
| Provider Name | Vincent C Chin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780777037 PECOS PAC ID: 4284811233 Enrollment ID: I20110714000719 |
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