Basic Information
| Provider Information | |||||||||
| NPI: | 1740467208 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHIN | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | JASMIN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.P.M. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17160 ROYAL PALM BLVD | ||||||||
| Address2: | SUITE# 2 | ||||||||
| City: | WESTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333262395 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543842555 | ||||||||
| FaxNumber: | 9543844455 | ||||||||
| Practice Location | |||||||||
| Address1: | 17160 ROYAL PALM BLVD | ||||||||
| Address2: | SUITE# 2 | ||||||||
| City: | WESTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333262395 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543842555 | ||||||||
| FaxNumber: | 9543844455 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/28/2008 | ||||||||
| LastUpdateDate: | 10/13/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213ES0103X | PO3266 | FL | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist | Foot & Ankle Surgery |
ID Information
| ID | Type | State | Issuer | Description | 000048200 | 05 | FL | MEDICAID |