Individual
CHELSEA LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
255 N LAKEMONT AVE STE 207, WINTER PARK, FL 32792-3219
(844) 407-4070
(407) 743-3050
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(609) 677-7003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9112179
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9112179
FL
Other
Enumeration date
10/16/2017
Last updated
08/15/2022
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