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DR. KATIUSCA CHAVEZ M.D.
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1235388307
Individual Registrant:DR. KATIUSCA CHAVEZ M.D.
Gender: F
Sole Proprietor
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: --
Tel: 321-745-5976 Fax: --
Contact information for business:
3897 PEACOCK DR MELBOURNE, FL 32904-9516 US
Tel: 321-327-5135 Fax: --
Tel: 321-327-5135 Fax: --
Registration Information:
NPI: 1235388307
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | FL | ME 102747 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
