Individual
JESSIE K CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 W FAIRBANKS AVE, STE E, WINTER PARK, FL 32789-5084
(407) 645-2300
(407) 645-2308
Mailing address
151 SOUTHHALL LN, STE 300, MAITLAND, FL 32751-7176
(407) 875-2080
(407) 875-0518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106851
FL
Other
Enumeration date
02/22/2013
Last updated
06/28/2013
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