Provider Demographics
NPI:1245215375
Name:CHUA, ROBERT K (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:K
Last Name:CHUA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1109 NE JENSEN BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-4707
Mailing Address - Country:US
Mailing Address - Phone:772-335-9600
Mailing Address - Fax:772-225-2341
Practice Address - Street 1:1109 NE JENSEN BEACH BLVD
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-4707
Practice Address - Country:US
Practice Address - Phone:772-335-9600
Practice Address - Fax:772-225-2341
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2022-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0071141207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250447200Medicaid
FLG31565Medicare UPIN
FL250447200Medicaid