Provider Demographics
NPI:1609990217
Name:CHAVOUSTIE, STEVEN EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:EUGENE
Last Name:CHAVOUSTIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:STEVE
Other - Middle Name:E
Other - Last Name:CHAVOUSTIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1065 NE 125TH ST
Mailing Address - Street 2:SUITE 219
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5821
Mailing Address - Country:US
Mailing Address - Phone:305-722-8444
Mailing Address - Fax:305-891-1360
Practice Address - Street 1:7401 SW 53RD CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5805
Practice Address - Country:US
Practice Address - Phone:305-856-4242
Practice Address - Fax:305-856-4494
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME43589207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology