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1790786721

NPI Code Detail

MEDICARE: DR. CHRISTINA CHANDLER MD

MEDICARE: DR. CHRISTINA CHANDLER MD

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	207V00000X	Obstetrics & Gynecology Physician	D61568	MD
2	207V00000X	Obstetrics & Gynecology Physician	MD14308	HI
3	207V00000X	Obstetrics & Gynecology Physician	64908	GA
4	207V00000X	Obstetrics & Gynecology Physician	ME145538	FL
5	207V00000X	Obstetrics & Gynecology Physician	60309907	WA
6	207V00000X	Obstetrics & Gynecology Physician	D0061568	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790786721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA CHANDLER MD

Provider Business Mailing Address
First Line	:	301 MEMORIAL MEDICAL PKWY
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5167
Country	:	US
Telephone Number	:	407-975-0406
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 MEMORIAL MEDICAL PKWY
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5167
Country	:	US
Telephone Number	:	386-231-6000
Fax Number	:	410-710-8587

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

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	02/06/2023

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Directions to “ DR. CHRISTINA CHANDLER MD” Practice Location

Language	Start Address	Practice Location

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