Individual
CHANTE MCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14320 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2601
(813) 280-8181
Mailing address
2281 NW 33RD AVE, LAUDERDALE LAKES, FL 33311-2728
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA9120535
FL
Other
Enumeration date
05/23/2025
Last updated
12/01/2025
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