Individual
MRS. CHANDLER LARSEN YEAZITZIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1658 ST VINCENTS WAY STE 300, MIDDLEBURG, FL 32068-8431
(904) 276-5100
(904) 276-5393
Mailing address
1658 ST VINCENTS WAY STE 300, MIDDLEBURG, FL 32068-8431
(904) 276-5100
(904) 276-5393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109042
FL
363AM0700X
Medical Physician Assistant
PA9109042
FL
Other
Enumeration date
09/22/2015
Last updated
04/14/2026
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