Provider Demographics
NPI:1750561072
Name:CHUKWU, HELEN-VALENTINE (DO)
Entity type:Individual
Prefix:DR
First Name:HELEN-VALENTINE
Middle Name:
Last Name:CHUKWU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 CORPORATE WAY
Mailing Address - Street 2:MPG DOOR D
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3925
Mailing Address - Country:US
Mailing Address - Phone:954-276-5681
Mailing Address - Fax:
Practice Address - Street 1:3700 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6031
Practice Address - Country:US
Practice Address - Phone:954-265-2550
Practice Address - Fax:954-265-2570
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13634207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOT012305OtherTRAINING LICENSE