Individual provider · Type 1 NPI

Chad Dathon Short, MD

Student in an Organized Health Care Education/Training Program · Orlando, FL

NPI number 1588985253 Active

Practice location

86 W Underwood St, Suite 201
Orlando, FL 32806-1110

Call (321) 841-5142 Map

Fax (407) 648-3686

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XTRN15234 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1588985253

Chad Dathon Short, MD's National Provider Identifier is 1588985253, issued on Jun 17, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orlando, FL. The record was last updated on Jun 17, 2010.