Individual
MISS CHELSEA ELIZABETH TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.N., M.S.
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
(813) 974-4325
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016263200
—
FL
01
—
9S6TZ
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/12/2015
Last updated
01/29/2025
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