Provider Demographics
NPI:1316116411
Name:VIOLETA B CHIONG MD PA
Entity type:Organization
Organization Name:VIOLETA B CHIONG MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIOLETA
Authorized Official - Middle Name:B
Authorized Official - Last Name:CHIONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-392-7508
Mailing Address - Street 1:660 GLADES RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6465
Mailing Address - Country:US
Mailing Address - Phone:561-392-7508
Mailing Address - Fax:561-392-7509
Practice Address - Street 1:660 GLADES RD
Practice Address - Street 2:SUITE 340
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6465
Practice Address - Country:US
Practice Address - Phone:561-392-7508
Practice Address - Fax:561-392-7509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17670207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD86472Medicare PIN