Individual
JOAN TYRELL CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
728 S ENDEAVOUR DR, WINTER SPRINGS, FL 32708-5167
(407) 462-5613
(407) 699-4255
Mailing address
728 S ENDEAVOUR DR, WINTER SPRINGS, FL 32708-5167
(407) 462-5613
(407) 699-4255
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
18307100308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230569100
—
FL
Enumeration date
04/29/2008
Last updated
04/29/2008
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