Provider First Line Business Practice Location Address:
14261 SW 120TH STREET
Provider Second Line Business Practice Location Address:
CHEN MEDICAL TAMIAMI AIRPORT, LLC
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33186
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-378-1302
Provider Business Practice Location Address Fax Number:
305-378-1311
Provider Enumeration Date:
10/04/2007