Christopher Dylan Chambliss, APRN | |
1667 N Clyde Morris Blvd, Daytona Beach, FL 32117-5500 | |
(386) 274-1414 | |
Not Available |
Full Name | Christopher Dylan Chambliss |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 1667 N Clyde Morris Blvd, Daytona Beach, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801489497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN11011662 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN1101662 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
Florida Hospital Flagler | Palm coast, FL | Hospital |
Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Clinical Practice Association Inc | 0345146254 | 1622 |
Lakeside Endocrine Associates Inc | 9133408008 | 5 |
Entity Name | Florida Clinical Practice Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Entity Name | Lakeside Endocrine Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871041681 PECOS PAC ID: 9133408008 Enrollment ID: O20161116002444 |
Mailing Address | Practice Location Address |
---|---|
Christopher Dylan Chambliss, APRN 1667 N Clyde Morris Blvd Ste 2, Daytona Beach, FL 32117-5500 Ph: (386) 274-4840 | Christopher Dylan Chambliss, APRN 1667 N Clyde Morris Blvd, Daytona Beach, FL 32117-5500 Ph: (386) 274-1414 |
Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885 | |
Brittany C Gaskin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117 Phone: 386-274-0500 | |
Charles Wright, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-238-3200 Fax: 386-238-3264 | |
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544 | |
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705 | |
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105 | |
Mrs. Krystal Marie Disantis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 786-738-9144 Fax: 877-245-1597 |