Chase W. Sofiak D.O.
Diagnostic Radiology Physician in Daytona Beach, FL(View on Map)
Full Name
Chase Wayne Sofiak D.O.
NPI Number
1457886046
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/21/2017
Specialties
(Taxonomies)Code
2085R0202X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
OS18641
Contact
Information
Purpose
Mailing
Location
Address
1111 HAYES AVE
1673 MASON AVE STE 305
City
Sandusky
Daytona Beach
State
OH
FL
Postal Code
44870-3323
32117-5516
Country
US
US
Telephone Number
(419) 502-2800
(386) 274-7118
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/30/2023
Provider Address
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John Varvarikos
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Jerry Cherisien M.D.
Daytona Beach, FLSpecialties: Diagnostic Radiology Physician (Primary)Student in an Organized Health Care Education/Training Program