Individual
MR. CHANDREKAR PERSAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 RYANS RIDGE AVE, EUSTIS, FL 32726-6454
(301) 437-5163
Mailing address
419 RYANS RIDGE AVE, EUSTIS, FL 32726-6454
(301) 437-5163
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
873127780
ALL INSURANCES AND PRIVATE CLIENTS
FL
05
—
873127780
—
FL
Enumeration date
10/19/2021
Last updated
10/19/2021
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