Individual
ALEX CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1180 PONCE DE LEON BLVD STE 701, CLEARWATER, FL 33756-1031
(727) 447-5845
Mailing address
1180 PONCE DE LEON BLVD STE 701, CLEARWATER, FL 33756-1031
(727) 447-5845
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
29992282
FL
372600000X
Adult Companion
299992282
FL
374U00000X
Home Health Aide
Primary
299992282
FL
376J00000X
Homemaker
299992282
FL
376K00000X
Nurse's Aide
299992282
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992282
HOME HEALTH AGENCY LICENSE
FL
Enumeration date
11/19/2014
Last updated
11/19/2014
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