Tebytha Chan
Individual provider Active NPI Driver · Cantonment, FL
NPI 1699650374 · NPPES record last updated Aug 11, 2025
Key facts
- NPI
- 1699650374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 803 E Kingsfield Rd
Cantonment, FL 32533-7542 - Phone
- (702) 563-9768
- NPI assigned
- Aug 11, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
803 E Kingsfield Rd
Cantonment, FL 32533-7542
Mailing address
803 E Kingsfield Rd.
Cantonment, FL 32533
Other providers in Cantonment, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2025. 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.