Provider Demographics
NPI:1134513724
Name:STOKES, CHAMAINE CINDY
Entity Type:Individual
Prefix:MRS
First Name:CHAMAINE
Middle Name:CINDY
Last Name:STOKES
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CHAMAINE
Other - Middle Name:CINDY
Other - Last Name:CHANCE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDMS
Mailing Address - Street 1:500 FAIRWAY DR STE 102
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-1817
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6322 GONDOLA DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-1306
Practice Address - Country:US
Practice Address - Phone:813-335-1649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-23
Last Update Date:2017-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography