Individual
DISLEIDYS CHAVIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
7011 A C SKINNER PKWY STE 160, JACKSONVILLE, FL 32256-6953
(904) 493-3333
(904) 493-2222
Mailing address
10521 INDIAN WALK RD, JACKSONVILLE, FL 32257-6450
(502) 309-1017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11033284
FL
Other
Enumeration date
06/08/2024
Last updated
07/08/2024
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