Individual
CECILIA LETICIA CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6735 CROSSWINDS DR N, ST PETERSBURG, FL 33710-5471
(727) 548-8500
(727) 501-7328
Mailing address
9048 109TH TERRACE NORTH, LARGO, FL 33777
(727) 324-7263
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9315356
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023874000
—
FL
01
—
1535616
CIGNA
FL
01
—
1560364
WELLMED
FL
01
—
375742
UNITED
FL
01
—
6599258
AETNA
FL
01
—
7HD1W
FLORIDA BLUE
FL
Enumeration date
03/23/2015
Last updated
09/02/2021
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