MEDICARE: SEGINALD RASHAAD CHANEY CPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246Z00000X	Other Specialist/Technologist	S6Z9X7W5	FL

General Provider Information

NPI Number	:	1376042176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEGINALD RASHAAD CHANEY CPT

Provider Business Mailing Address
First Line	:	5959 FORT CAROLINE RD APT 2401
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-1853
Country	:	US
Telephone Number	:	727-318-8332
Fax Number	:	218-670-3136

Provider Business Practice Location Address
First Line	:	5959 FORT CAROLINE RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-1884
Country	:	US
Telephone Number	:	727-318-8332
Fax Number	:	218-670-3136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2018
Last Update Date	:	12/31/2025

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