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CHRISTOPHER DYLAN CHAMBLISS APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1801489497

Individual Registrant:
 CHRISTOPHER DYLAN CHAMBLISS APRN
Gender: M
Sole Proprietor

Location and contact information for practice:
199 S US HIGHWAY 17 STE A  EAST PALATKA, FL 32131-6071 US
Tel: 386-312-5250  Fax: --

Contact information for business:
1667 N CLYDE MORRIS BLVD STE 2  DAYTONA BEACH, FL 32117-5500 US
Tel: 386-274-4840  Fax: 386-256-3008

Registration Information:
NPI: 1801489497
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FLAPRN11011662
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FL11011662

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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