Provider Demographics
NPI:1821382219
Name:CHIDIAC, FRANCOIS (DO)
Entity Type:Individual
Prefix:
First Name:FRANCOIS
Middle Name:
Last Name:CHIDIAC
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:JEAN FRANCOIS
Other - Middle Name:
Other - Last Name:CHIDIAC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:2007 PALM BEACH LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6501
Mailing Address - Country:US
Mailing Address - Phone:561-420-8555
Mailing Address - Fax:561-420-8550
Practice Address - Street 1:6300 N ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-2130
Practice Address - Country:US
Practice Address - Phone:561-420-8555
Practice Address - Fax:561-420-8550
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13721207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101826500Medicaid