Chandler, Nicole

Chandler, Nicole is an individual health care provider with primary practice located at 601 5Th St S Department 70-6600, St Petersburg FL 33701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Chandler, Nicole can be contacted via phone (727) 767-4170.

Contact Information

Primary practice address
601 5Th St S Department 70-6600 St Petersburg FL 33701
Phone: (727) 767-4170
Fax: (727) 767-4346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X D0064535 Maryland

Profile Details

NPI number 1831235670
LBN Legal business name Chandler, Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Oct 4th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831235670 NPPES
Florida MEDICAID 000191600

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