Provider Demographics
NPI:1437731395
Name:CHEN, JANET (DO)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1485 LEGENDS BLVD
Mailing Address - Street 2:
Mailing Address - City:CHAMPIONS GATE
Mailing Address - State:FL
Mailing Address - Zip Code:33896-8393
Mailing Address - Country:US
Mailing Address - Phone:407-390-6480
Mailing Address - Fax:407-390-6483
Practice Address - Street 1:1485 LEGENDS BLVD
Practice Address - Street 2:
Practice Address - City:CHAMPIONS GATE
Practice Address - State:FL
Practice Address - Zip Code:33896-8393
Practice Address - Country:US
Practice Address - Phone:407-390-6480
Practice Address - Fax:407-390-6483
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS19332207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine