Individual provider · Type 1 NPI

Walid Bou Chacra, MD

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

NPI number 1679783286 Active

Practice location

1611 NW 12th Ave, Jackson Memorial Hospital Internal Medicine
Miami, FL 33136-1005

Mailing address

3000 Coral Way Apt 513
Coral Gables, FL 33145-3235

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XTRN 8040 (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 1679783286

Walid Bou Chacra, MD's National Provider Identifier is 1679783286, issued on May 23, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Jul 8, 2007.