Chancellor Health Trust

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CHANCELLOR HEALTH TRUST

Practice address

1850 SE 17TH St
Suite D
Ft Lauderdale, FL 33316-3050

Phone

(561) 422-4248

NPI assigned

Nov 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Donna Douglas

Title

Medical Director

Phone

(561) 422-4248

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417132800000",
    "number": "1700283256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SE 17TH ST",
            "address_2": "SUITE D",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SE 17TH ST",
            "address_2": "SUITE D",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163050",
            "telephone_number": "561-422-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCELLOR HEALTH TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-28",
        "last_updated": "2014-11-28",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-422-4248",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Charles Chambers Jr., MSW
• Tiffany Chambers
• Mona Chami, DDS
• Daniel Bayon Chan, MD
• Evelyn Chan
• Cole Chandler, DC
• Dyan Chaney, DPT, MPT
• Stacey Chaney, M.S.
• Alicia Chang Libero, PHARMD
• Dylan Andrew Chang, RD

• Local Education Agency (LEA) in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Local Education Agency (LEA) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2014; 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.