Provider Demographics
NPI:1700196862
Name:CHAMAS PODIATRY ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:CHAMAS PODIATRY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHAMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:321-783-2702
Mailing Address - Street 1:4368 N ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:COCOA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32931-3656
Mailing Address - Country:US
Mailing Address - Phone:321-783-2702
Mailing Address - Fax:321-783-3599
Practice Address - Street 1:4368 N ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:COCOA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32931-3656
Practice Address - Country:US
Practice Address - Phone:321-783-2702
Practice Address - Fax:321-783-3599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1366213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL87749Medicare PIN
FLT55529Medicare UPIN