Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chinh Vien Van, MD

Individual provider Family Medicine Physician · NPI 1124336839

Chinh Vien Van, MD is a Family Practice in Fort Walton Beach, Florida. Qualified in 2007, 19 years ago. Practices with White-Wilson Medical Center PA, a 47-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1005 Mar Walt Drive Immediate Care Dept
Fort Walton Beach, FL 32547-6796
Phone: (850) 863-8219
Fax: (850) 863-8249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME112971 (FL)

Record details

NPI number1124336839
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2010
Last updated in NPPESJune 27, 2014
Mailing address1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6796

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice White-Wilson Medical Center Pa — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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