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NICOLE CHANDLER MD

Physicians Surgery Pediatric Surgery

Provider NPI: 1831235670

Provider Information:
 NICOLE  CHANDLER MD
Gender: F
Not Sole Proprietor

Practice Location:
601 5TH ST S DEPARTMENT 70-6600 ST PETERSBURG, FL 33701 US
Tel: 727-767-4170  Fax: 727-767-4346

Business Mailing Address:
601 5TH ST S DEPARTMENT 70-6600 ST PETERSBURG, FL 33701 US
Tel: 727-767-4170  Fax: 727-767-4346

NPI Information:
NPI: 1831235670
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2086S0120XPhysicians
Surgery
Pediatric Surgery
MDD0064535

Other Provider Identifiers:

IssuerNumberStateType
000191600FL05



American Medical Association 2012 taxonomy code information

Code: 2086S0120X

Type:

Classification:



Definition:



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