Individual
MS. CHANTEL DESPORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5401 CORPORATE WOODS DR STE 100, PENSACOLA, FL 32504-8974
(850) 969-2340
Mailing address
8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
(850) 969-2340
(850) 969-2345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11008618
FL
Other
Enumeration date
07/05/2020
Last updated
01/25/2024
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