Chad Dathon Short M.D.

NPI 1588985253 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1588985253
Gender Male
Enumeration Date 06/17/2010
Last Updated 06/17/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
86 W UNDERWOOD ST
SUITE 201
ORLANDO FL, 32806-1110, US
Phone (321) 841-5142
Fax (407) 648-3686
Business Location
86 W UNDERWOOD ST
SUITE 201
ORLANDO FL, 32806-1110, US
Phone (321) 841-5142
Fax (407) 648-3686
Toxanomy
Taxonomy Code 390200000X
License State Florida
License Number TRN15234
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According to our database, Chad Dathon Short M.D. NPI is 1588985253, taxonomy code is 390200000X and license number is TRN15234, license state is located at Florida. Chad Dathon Short M.D. physically located at 86 W Underwood St, Orlando FL, 32806-1110. NPI Number Chad Dathon Short M.D. has the Individual type.

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1588985253 NPI number is provided on an as is basis without warranty of any kind. 1588985253 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Dathon Short M.D. are for informational purposes only.