Provider Demographics
NPI:1508194820
Name:FELIX CHION-FONG MD PA
Entity Type:Organization
Organization Name:FELIX CHION-FONG MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:CHION-FONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-868-0250
Mailing Address - Street 1:6365 COLLINS AVE
Mailing Address - Street 2:APT 1411
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-9620
Mailing Address - Country:US
Mailing Address - Phone:954-907-2648
Mailing Address - Fax:
Practice Address - Street 1:6365 COLLINS AVE
Practice Address - Street 2:APT 1411
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-9620
Practice Address - Country:US
Practice Address - Phone:954-907-2648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68838208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty