Provider Demographics
NPI:1104050608
Name:CHAVFIELD MEDICAL, INC
Entity type:Organization
Organization Name:CHAVFIELD MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRITCHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-253-5584
Mailing Address - Street 1:7765 SW 87TH AVE STE 110A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2535
Mailing Address - Country:US
Mailing Address - Phone:305-252-5584
Mailing Address - Fax:305-232-7868
Practice Address - Street 1:7765 SW 87TH AVE STE 110A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2535
Practice Address - Country:US
Practice Address - Phone:305-252-5584
Practice Address - Fax:305-232-7868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment