Provider Demographics
NPI:1114945300
Name:CHEN, TONY YT (MD)
Entity type:Individual
Prefix:
First Name:TONY
Middle Name:YT
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6801 US HIGHWAY 27 N
Mailing Address - Street 2:SUITE D-1
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-7840
Mailing Address - Country:US
Mailing Address - Phone:863-385-3535
Mailing Address - Fax:863-385-0355
Practice Address - Street 1:6801 US HIGHWAY 27 N
Practice Address - Street 2:SUITE D-1
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-7840
Practice Address - Country:US
Practice Address - Phone:863-385-3535
Practice Address - Fax:863-385-0355
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2012-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0022284207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL180043159OtherRAILROAD MEDICARE
FL053973200Medicaid
FL053973200Medicaid
FL28055YMedicare PIN