Provider Demographics
NPI:1265439459
Name:CHAITOFF, KEVIN ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ALAN
Last Name:CHAITOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7621 S WOODRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2334
Mailing Address - Country:US
Mailing Address - Phone:305-341-8555
Mailing Address - Fax:
Practice Address - Street 1:1500 N DIXIE HWY
Practice Address - Street 2:STE 103
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2715
Practice Address - Country:US
Practice Address - Phone:561-833-8893
Practice Address - Fax:561-833-8939
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0051786207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL049335000Medicaid
FL049335000Medicaid
FL07038YMedicare ID - Type Unspecified