Chazal, Richard A

Chazal, Richard A is an individual health care provider with primary practice located at 9800 S Health Park Dr Suite 320, Fort Myers FL 33908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Chazal, Richard A can be contacted via phone (239) 343-6350.

Contact Information

Primary practice address
9800 S Health Park Dr Suite 320 Fort Myers FL 33908
Fax: (239) 343-6358
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME0033511 Florida

Profile Details

NPI number 1013974435
LBN Legal business name Chazal, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Mar 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013974435 NPPES
Florida MEDICAID 041820000

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