Individual
PANZENE CHAMBLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
(305) 575-7745
Mailing address
1201 NW 16TH ST, MIAMI, FL 33125-1624
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5190999
FL
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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