Provider Demographics
NPI:1538471925
Name:ENG, DANIEL CHOW (PA-C)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:CHOW
Last Name:ENG
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2390 NE 186TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2789
Mailing Address - Country:US
Mailing Address - Phone:305-760-8400
Mailing Address - Fax:305-931-6166
Practice Address - Street 1:2390 NE 186TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-2789
Practice Address - Country:US
Practice Address - Phone:305-760-8400
Practice Address - Fax:305-931-6166
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9105124363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant