Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | ME0097160 | FL |
NPI | 1619992666 |
---|---|
Provider Name | Linda J Chen |
First Address | Miami, FL 33136-1101 |
Second Address | Miami, FL 33136-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 13/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A617500 | (05) | CA |
2769191-00 | (05) | FL |
H84102 | (02) |