Individual
DR. DAVID J CHESIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
655 W. 8TH STREET, UFJAX - DEPT. OF SURGERY/TRAUMA, JACKSONVILLE, FL 32209
(904) 244-6631
(904) 244-4687
Mailing address
P.O. BOX 44008, UFJP - PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
945628668A
—
GA
Enumeration date
11/13/2006
Last updated
10/14/2010
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