Individual
BRIAN KEITH CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
455 PINELLAS ST, #320, CLEARWATER, FL 33756-3354
(727) 446-2273
(727) 441-4966
Mailing address
PO BOX 743409, ATLANTA, GA 30374-3409
(727) 532-0002
(727) 532-1325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225992
WELLCARE
FL
05
—
291808100
—
FL
Enumeration date
02/17/2006
Last updated
04/08/2016
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