Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | ME93975 | FL |
NPI | 1033321195 |
---|---|
Provider Name | Dr. Abbigail Jean Chandler |
First Address | Tampa, FL 33606-3589 |
Second Address | Tampa, FL 33606-3589 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 08/07/2007 |