Provider Demographics
NPI:1285840066
Name:CHIN, VICTOR J (AP)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:J
Last Name:CHIN
Suffix:
Gender:M
Credentials:AP
Other - Prefix:MS
Other - First Name:LINOR
Other - Middle Name:W
Other - Last Name:YUEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AP PT
Mailing Address - Street 1:5401 COLLINS AVE
Mailing Address - Street 2:# CU12
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2573
Mailing Address - Country:US
Mailing Address - Phone:305-866-6911
Mailing Address - Fax:305-864-1274
Practice Address - Street 1:5401 COLLINS AVE
Practice Address - Street 2:# CU12
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2573
Practice Address - Country:US
Practice Address - Phone:305-866-6911
Practice Address - Fax:305-864-1274
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP000199171100000X
FLAP0000099171100000X
FLPT0002038225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
C0083OtherBCBS
FLC0096OtherBLUE CROSS BLUE SHIELD