Provider Demographics
NPI:1336674365
Name:CHEA, NHEAN DAWANCE (MD)
Entity Type:Individual
Prefix:
First Name:NHEAN
Middle Name:DAWANCE
Last Name:CHEA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14547 FEATHER SOUND DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-3006
Mailing Address - Country:US
Mailing Address - Phone:917-853-7642
Mailing Address - Fax:
Practice Address - Street 1:4800 T REX AVE STE 200
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4479
Practice Address - Country:US
Practice Address - Phone:877-850-8762
Practice Address - Fax:877-480-9940
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-27
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0086329208600000X
FLME142395208D00000X, 208600000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program