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DR. KATIUSCA CHAVEZ M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1235388307

Individual Registrant:
DR. KATIUSCA  CHAVEZ M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
1636 N CENTRAL AVE SUITE 100 SEBASTIAN, FL 32958-3808 US
Tel: 321-745-5976  Fax: --

Contact information for business:
3897 PEACOCK DR  MELBOURNE, FL 32904-9516 US
Tel: 321-327-5135  Fax: --

Registration Information:
NPI: 1235388307
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
FLME 102747

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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