Individual
CHELSEA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SW LEISURE LN, PORT SAINT LUCIE, FL 34953-1636
(917) 539-1669
Mailing address
1501 SW LEISURE LN, PORT SAINT LUCIE, FL 34953-1636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11046520
FL
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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