MEDICARE: DR. CHASE CHAMBERS 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	208000000X	Pediatrics Physician	ME144560	FL

General Provider Information

NPI Number	:	1851888572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHASE CHAMBERS MD

Provider Business Mailing Address
First Line	:	PO BOX 100296
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-0296
Country	:	US
Telephone Number	:	352-627-9350
Fax Number	:	352-273-9054

Provider Business Practice Location Address
First Line	:	3278 MITCHELL BLVD
Second Line	:
City	:	MOODY AFB
State	:	GA
Zip	:	31699-1500
Country	:	US
Telephone Number	:	229-257-9706
Fax Number	:

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

Provider Enumeration Date	:	04/18/2018
Last Update Date	:	04/08/2026

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