Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | OS0004828 | FL |
NPI | 1144250341 |
---|---|
Provider Name | Hana Chaim |
First Address | Ormond Beach, FL 32174-5181 |
Second Address | Ormond Beach, FL 32174-5181 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 08/07/2007 |