Individual
ELIZA JANE CHEVALIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(386) 943-4522
Mailing address
PO BOX 9430, DAYTONA BEACH, FL 32120-9430
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9112106
FL
207Q00000X
Family Medicine Physician
9112106
FL
207R00000X
Internal Medicine Physician
9112106
FL
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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