Provider Demographics
NPI:1023250446
Name:CHIN QUEE, CLAYTON HUGH SR (CRNA)
Entity type:Individual
Prefix:MR
First Name:CLAYTON
Middle Name:HUGH
Last Name:CHIN QUEE
Suffix:SR
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Practice Address - Street 1:2310 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2314
Practice Address - Country:US
Practice Address - Phone:305-860-0717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-31
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9210764367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0014790-00Medicaid
FL0014790-00Medicaid