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Organization
CHELSEA NICHON COLLECTION LLC
Active
Organization
CHELSEA NICHON COLLECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA NICHON SMITH (OWNER)
(904) 575-6208
Entity
Organization
Contact information
Practice address
8005 FLEUR DE LIS DR, JACKSONVILLE, FL 32277-0904
(904) 575-6208
Mailing address
7632 SOUTHSIDE BLVD APT 144, JACKSONVILLE, FL 32256-7075
(904) 575-6208
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
NULL
1744P3200X
Prosthetics Case Management
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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