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Individual

GILBERT SEWELL CHANDLER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
3334 CAPITAL MEDICAL BLVD, STE 400, TALLAHASSEE, FL 32308-8405
(850) 877-8174
Mailing address
3334 CAPITAL MEDICAL BLVD, STE 400, TALLAHASSEE, FL 32308-8405
(850) 877-8174
(850) 877-5636

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
035224
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
ME114083
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009840500
FL
Enumeration date
11/04/2005
Last updated
02/19/2014
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