Michelle Chandler, P.A.
Individual provider Active NPI Medical Physician Assistant · Flagler Beach, FL
NPI 1639477649 · NPPES record last updated Mar 1, 2011
Key facts
- NPI
- 1639477649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA1683 (FL)
- Practice address
- 9 Windsong CV
Flagler Beach, FL 32136-4004 - Phone
- (321) 295-3781
- NPI assigned
- Mar 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1683 | FL | Yes |
Addresses
Primary practice location
9 Windsong CV
Flagler Beach, FL 32136-4004
Mailing address
9 Windsong CV
Flagler Beach, FL 32136-4004
Phone (321) 295-3781
Other providers in Flagler Beach, FL
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- Carol Ruth Brown
- Long Phi Bui
- Frederick A. Campos
- Cecil E. Ashby III, D.C., P.a.
- Comfortable Care Dental Health Professionals, P.a.
- Lisa M. Curtis
- Mary Helene Davis
- Jan Derby
- Pamela E Derr
All providers in Flagler Beach, FL · Medical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.