person
Chantal R Theodore
Adult Health Nurse Practitioner in Orlando, Florida
NPI 1720630411

Chantal R Theodore is an Adult Health Nurse Practitioner based in Orlando, FL and is specialized in Adult Health. Chantal R Theodore practices in Orlando, FL. The NPI Number for Chantal R Theodore is 1720630411 and holds a License No. 26NJ00883700 (Florida).

The current practice location address for Chantal R Theodore is 1222 S Orange Avenue 4Th Fl, Orlando, FL and can be reached out via phone at 321-841-6444 and via fax at 407-650-1307.

Location: 1222 S Orange Avenue 4Th Fl, Orlando, FL, 32806-2008
person
Provider Profile Details
NPI Number
1720630411
Provider Name
Chantal R Theodore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1222 S Orange Avenue 4Th Fl, Orlando, FL, 32806-2008
Phone Number
321-841-6444
Fax Number
407-650-1307
Provider Enumeration Date
07/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1222 S Orange Avenue 4Th Fl
City
State
Zip
32891-2027
Phone Number
321-841-6444
Fax Number
407-650-1307
person
Provider Business Mailing Address Details
Address
1222 S Orange Avenue 4Th Fl
City
State
Zip
32891-2027
Phone Number
321-841-6444
Fax Number
407-650-1307
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
APRN11016089 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
26NJ00883700 (New Jersey)
Definition
Definition to come...
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