Chenven, Eric Scott
Chenven, Eric Scott is an individual health care provider with primary practice located at 1200 E Broward Blvd , Fort Lauderdale FL 33301-2134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chenven, Eric Scott can be contacted via phone (954) 463-6408.Contact Information
Primary practice address
1200 E Broward Blvd
Fort Lauderdale FL 33301-2134
Phone: (954) 463-6408
Fax: (954) 463-1858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME87659 | Florida |
Profile Details
| NPI number | 1962493619 |
|---|---|
| LBN Legal business name | Chenven, Eric Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Apr 28th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962493619 | NPPES |
| Florida | Other | 1192963 | WELLCARE |
| Florida | Other | 79056 | WELLCARE |
| Florida | Other | 000056842Z | WELLCARE |
| Florida | Other | P0003137 | WELLCARE |
| Florida | Other | 6902213 | WELLCARE |
| Florida | Other | P00731868 | WELLCARE |
| Florida | MEDICAID | 2677903-00 | WELLCARE |
| Florida | Other | 11985 | WELLCARE |
| Florida | Other | PRL00000274253 | WELLCARE |
| Florida | Other | 10201 | WELLCARE |
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