Provider Demographics
NPI:1982832804
Name:MARKOWICZ, CHLOE ALEXANDRA
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:ALEXANDRA
Last Name:MARKOWICZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W 41ST ST
Mailing Address - Street 2:SUITE 216
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3637
Mailing Address - Country:US
Mailing Address - Phone:305-672-8080
Mailing Address - Fax:305-672-0030
Practice Address - Street 1:300 W 41ST ST
Practice Address - Street 2:SUITE 216
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3637
Practice Address - Country:US
Practice Address - Phone:305-672-8080
Practice Address - Fax:305-672-0030
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2593106H00000X
FLIMT 1299106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist