| Christopher Dylan Chambliss, APRN | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-5500 | |
| (352) 273-8656 | |
| Not Available |
| Full Name | Christopher Dylan Chambliss |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1600 Sw Archer Rd, Gainesville, 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) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Halifax Health Medical Center | Daytona beach, FL | Hospital |
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
| Adventhealth Palm Coast | Palm coast, FL | Hospital |
| Adventhealth Palm Coast Parkway | Palm coast, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Clinical Practice Association Inc | 0345146254 | 1886 |
| 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 1600 Sw Archer Rd, Gainesville, FL 32610-5500 Ph: (352) 273-8656 |
Susan Lynette Fort, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2528 Nw 32nd St, Gainesville, FL 32605 Phone: 352-224-8161 Fax: 321-320-8780 |
Xenia T Blount, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 100224, Gainesville, FL 32610 Phone: 352-273-7832 Fax: 352-273-7849 |
Mrs. Brandace Michele Kenworthy, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 |
Miss Sadaf Nazar Malik, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 904-265-0111 |
Meghan M Deerman, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0761 |
Mrs. Sara Renee West, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9000 Fax: 352-392-8413 |
Sandrie Rose Dieujuste, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0045 |