Individual
HOLLY CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
8434
GA
2084E0001X
Epilepsy Physician
9115382
FL
363A00000X
Physician Assistant
Primary
PA9115382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1DME8
BCBS
FL
Enumeration date
08/27/2017
Last updated
09/14/2022
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