Provider Demographics
NPI:1053831693
Name:CHI, DARGELIS (MD)
Entity Type:Individual
Prefix:
First Name:DARGELIS
Middle Name:
Last Name:CHI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9960 NW 116TH WAY STE 13
Mailing Address - Street 2:
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1175
Mailing Address - Country:US
Mailing Address - Phone:786-924-1311
Mailing Address - Fax:786-924-1313
Practice Address - Street 1:9970 CENTRAL PARK BLVD N STE 207
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-2236
Practice Address - Country:US
Practice Address - Phone:561-482-1027
Practice Address - Fax:614-882-1028
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-25
Last Update Date:2022-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXBP100596092084N0400X
FLME114072084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology