Individual
AKSA CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 CELEBRATION PL, KISSIMMEE, FL 34747-4970
(407) 952-1909
Mailing address
400 CELEBRATION PL, KISSIMMEE, FL 34747-4970
(407) 952-1909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10191013
FL
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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