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Organization

CHAPTERS HEALTH PALLIATIVE CARE, LLC

Active
Parent organization
CHAPTERS HEALTH SYSTEM, INC.
Other names
Axis Palliative Healthcare, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHAPTERS HEALTH SYSTEM, INC.
Authorized official
CRYSTAL BUCCIARELLI (STAFF ATTORNEY)
(813) 871-8075
Entity
Organization

Contact information

Practice address
12470 TELECOM DR, SUITE 300, TEMPLE TERRACE, FL 33637-0904
(813) 871-8200
(813) 871-8199
Mailing address
12470 TELECOM DR, SUITE 300 - ATTENTION: COMPLIANCE, TEMPLE TERRACE, FL 33637-0904
(813) 871-8200
(813) 871-8199

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003360058
PROVIDER - FITZWILLIAM MUSOKO ESELE APRN
01
1083928592
PROVIDER - RAVI SAMLAL DO
01
1134156813
PROVIDER - ANDREA MILLER MD
01
1144679176
PROVIDER - MARIBETH ALLEN APRN
01
1194037770
PROVIDER - ANTHONY JONES MD
01
1255758389
PROVIDER - JULIE MARTINEZ APRN
01
1275872459
PROVIDER - JESSICA NOVAK APRN
01
1376071415
PROVIDER - KERINE HINDS APRN
01
1437336302
PROVIDER - ZOE LEWIS MD
01
1538669627
PROVIDER - RATCHADAKON TRAN APRN
01
1548294655
PROVIDER - MARY ALFONO TORRES MD
01
1609115534
PROVIDER - MATTHEW PETTIT APRN
01
1669622858
PROVIDER - KATHLEEN CURRAN APRN
01
1710428602
PROVIDER - JESSICA BAILES APRN
01
1720276157
PROVIDER - TERA GEARHART APRN
01
1902134208
PROVIDER - ISABEL BALES APRN
Enumeration date
11/09/2006
Last updated
08/24/2020
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