Chas Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CHAS GROUP

Practice address

2580-3 County Road 220
Middleburg, FL 32068-6532

Phone

(855) 242-6608

Fax

(855) 242-6609

NPI assigned

Feb 12, 2013

Last updated

Jan 16, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cynthia Jean Petito

Title

President

Phone

(855) 242-6608

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1144569179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580-3 COUNTY RD 220",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686532",
            "telephone_number": "855-242-6608",
            "fax_number": "855-242-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580-3 COUNTY ROAD 220",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686532",
            "telephone_number": "855-242-6608",
            "fax_number": "855-242-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "PETITO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-242-6608"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.