Individual
CHASE KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 615-8235
Mailing address
2501 N ORANGE AVE STE 235, ORLANDO, FL 32804-4659
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
UO11586
FL
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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