Suzette Ava Chandler in Eustis - Internal Medicine

Suzette Ava Chandler - NPI 1184609539

Suzette Ava Chandler is a Internal Medicine in Eustis, Florida. Suzette Ava Chandler practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Suzette Ava Chandler is 1184609539. The last update date is 2009-11-17.

Suzette Ava Chandler's current location address is 2000 Prevatt St, Eustis, Florida. You can contact this provider via phone number 3525895890 and fax number 3525892589. The mailing address for Suzette Ava Chandler is 2000 Prevatt St, Eustis, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Suzette Ava Chandler
Address 2000 Prevatt St, Eustis, Florida
Phone Number 3525895890
Fax Number 3525892589
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1184609539
Provider Enumeration Date 2005-12-08
Last Updated Date 2009-11-17

Provider Mailing Address Detail

Address 2000 Prevatt St
City Eustis
State Florida (FL)
Post Code 327266149
Phone Number 3525895890
Fax Number 3525892589

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No OS8237
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
260323300 FL --
51836 FL BLUE CROSS BLUE SHIELD NU

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FAQs about Suzette Ava Chandler

What is the unique 10-digit identifier code assigned to Suzette Ava Chandler by the Centers for Medicare & Medicaid Services?

The Suzette Ava Chandler has been issued the NPI (National Provider Identifier) 1184609539 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Suzette Ava Chandler is physically located?

The Suzette Ava Chandler is physically situated at the following address: 2000 Prevatt St, Eustis, FL, 327266149.

What is Suzette Ava Chandler's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Suzette Ava Chandler is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date did Suzette Ava Chandler receive its 1184609539 assignment from the Centers for Medicare & Medicaid Services?

The Suzette Ava Chandler was assigned its 1184609539 on 2005-12-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Suzette Ava Chandler's details last updated?

The information pertaining to the Suzette Ava Chandler, including its address, specialty, and other details, was most recently updated on 2009-11-17.

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