Miranda J Chandler in Okeechobee - Medical

Miranda J Chandler - NPI 1801053020

Miranda J Chandler is a Medical in Okeechobee, Florida. Miranda J Chandler practices all healthcare services and medical treatments related to Medical. The NPI Number for Miranda J Chandler is 1801053020. The last update date is 2012-12-07.

Miranda J Chandler's current location address is 2257 Highway 441 N, Okeechobee, Florida. You can contact this provider via phone number 8634674788 and fax number 8634679092. The mailing address for Miranda J Chandler is 2257 Highway 441 N, Okeechobee, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Miranda J Chandler
Address 2257 Highway 441 N, Okeechobee, Florida
Phone Number 8634674788
Fax Number 8634679092
Sole Proprietor Y
Credentials PA

NPI Number Detail

NPI Number 1801053020
Provider Enumeration Date 2008-05-16
Last Updated Date 2012-12-07

Provider Mailing Address Detail

Address 2257 Highway 441 N
City Okeechobee
State Florida (FL)
Post Code 349721943
Phone Number 8634674788
Fax Number 8634679092

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA9104172
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA9104172 FL STATE LICENSE

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FAQs about Miranda J Chandler

What is the unique identification code assigned to Miranda J Chandler by the Centers for Medicare & Medicaid Services?

The Miranda J Chandler has been issued the NPI (National Provider Identifier) 1801053020. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Miranda J Chandler's facilities are situated?

The facilities of Miranda J Chandler are physically located at the following address: 2257 Highway 441 N, Okeechobee, FL, 349721943.

What is Miranda J Chandler's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Miranda J Chandler is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1801053020 to Miranda J Chandler?

The Miranda J Chandler received its 1801053020 assignment from the Centers for Medicare & Medicaid Services on 2008-05-16.

As of what date was the information pertaining to Miranda J Chandler, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Miranda J Chandler, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-12-07.

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