Individual
CHIANTA SHAW LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
232 N ORANGE BLOSSOM TRL, ORLANDO, FL 32805-1612
(407) 428-5751
(407) 447-7245
Mailing address
37912 CHURCH AVE, DADE CITY, FL 33525-4207
(352) 518-2000
(407) 447-7245
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
384302
FL
363L00000X
Nurse Practitioner
Primary
ARNP3084302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305954500
—
FL
Enumeration date
03/30/2007
Last updated
08/23/2019
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