Suzette Ava Chandler, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS8237 Issued in FL

Practice address

2000 Prevatt St
Suite B-2
Eustis, FL 32726-6149

Phone

(352) 589-5890

Fax

(352) 589-2589

NPI assigned

Dec 8, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1184609539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PREVATT ST",
            "address_2": "SUITE B-2",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266149",
            "telephone_number": "352-589-5890",
            "fax_number": "352-589-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PREVATT ST",
            "address_2": "SUITE B-2",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266149",
            "telephone_number": "352-589-5890",
            "fax_number": "352-589-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "SUZETTE",
        "middle_name": "AVA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260323300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NU",
            "identifier": "51836",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Florida Therapy Specialists, Inc.
• Shamaya Chah, LMT
• Mark R Chambers, BCBA
• Nadia Chambers
• Min-Ju Chan, OTR/L
• Terryl Christina Chandler
• Charlotte Chapman
• Charles E Broadway, DMD, PA
• Charlotte Wigle, Arnp-C, P.a.
• Alisha Charmant

• Internal Medicine Physician in Eustis, FL
• Providers in Eustis, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.