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Individual

JUSTIN CHAMBERLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
981 E EAU GALLIE BLVD STE E, INDIAN HARBOUR BEACH, FL 32937-4928
(321) 344-3267
(321) 406-7697
Mailing address
981 E EAU GALLIE BLVD STE E, INDIAN HARBOUR BEACH, FL 32937-4928
(321) 344-3267

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
APRN11010799
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
11010799
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111332800
FL
Enumeration date
12/30/2020
Last updated
11/08/2024
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