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Individual

CHANDLER MCCAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2511 S YSABELLA AVE, TAMPA, FL 33629-6238
(813) 841-4909
Mailing address
701 W HENRY AVE, TAMPA, FL 33604-6507
(813) 841-4909

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9117510
FL
363A00000X
Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/25/2021
Last updated
09/19/2023
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