Provider Demographics
NPI:1700416898
Name:CLAYTON HUGH CHIN QUEE SR
Entity Type:Organization
Organization Name:CLAYTON HUGH CHIN QUEE SR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAYTON
Authorized Official - Middle Name:HUGH
Authorized Official - Last Name:CHIN QUEE SR
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:305-299-1076
Mailing Address - Street 1:1860 SW 155TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4319
Mailing Address - Country:US
Mailing Address - Phone:305-299-1076
Mailing Address - Fax:626-331-3204
Practice Address - Street 1:1860 SW 155TH AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4319
Practice Address - Country:US
Practice Address - Phone:305-299-1076
Practice Address - Fax:626-331-3204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty