Individual
ERIC JAMES CHACONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
105 MARINER HEALTH WAY, STE 213, SAINT AUGUSTINE, FL 32086-3251
(904) 217-4259
(904) 217-4251
Mailing address
PO BOX 3123, ST AUGUSTINE, FL 32085-3123
(904) 824-4990
(904) 824-2226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
21730
MD
225100000X
Physical Therapist
Primary
23527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y137H
BCBS
FL
Enumeration date
07/30/2006
Last updated
07/20/2009
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