Individual
CHRISTOPHER DYLAN CHAMBLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1667 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32117-5500
(386) 274-1414
Mailing address
1667 N CLYDE MORRIS BLVD STE 2, DAYTONA BEACH, FL 32117-5500
(386) 274-4840
(386) 256-3008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11011662
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN1101662
FL
Other
Enumeration date
02/16/2021
Last updated
05/31/2024
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