Basic Information
Provider Information
NPI: 1427143916
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHEN
FirstName: ALBERT
MiddleName: ZHENPING
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4101 W HORATIO ST
Address2:  
City: TAMPA
State: FL
PostalCode: 336093853
CountryCode: US
TelephoneNumber: 8133682309
FaxNumber:  
Practice Location
Address1: 2901 W. SWANN AVE.
Address2:  
City: TAMPA
State: FL
PostalCode: 33609
CountryCode: US
TelephoneNumber: 9137540467
FaxNumber: 9133415797
Other Information
ProviderEnumerationDate: 10/03/2006
LastUpdateDate: 02/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XME90016FLY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
4817601FLBCBSOTHER
P0014588601FLRAILROAD MEDICAREOTHER
27033010005FL MEDICAID


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