NPI 1063413748

Nicole Marie Chong, PA

Practitioner Medical Physician Assistant Sunrise, FL

Practice location

Address: 1613 NW 136th Ave Suite 200, Sunrise, FL 33323-2853
Phone: (800) 437-2672
Fax: (281) 851-1416
Mailing address: 11249 Brandywine Lake Way, Boynton Beach, FL 33473-4891

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA9101662 (FL)

Other Physician Assistant providers in Florida →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA03403 (TX)

Registry record

NPI: 1063413748
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Aug 2005
Record last updated: 6 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.