Organization
CHISM MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSABELLE CHISM APRN (OWNER)
(727) 202-0777
Entity
Organization
Contact information
Practice address
6166 SEMINOLE BLVD, SEMINOLE, FL 33772-6835
(727) 202-0777
Mailing address
6166 SEMINOLE BLVD, SEMINOLE, FL 33772-6835
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
06/22/2021
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