Healthcare Provider Details

I. General information

NPI: 1295313146
Provider Name (Legal Business Name): CHELSEA JOLENE BIEFELD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 LIVE OAK ST STE A
NEW SMYRNA BEACH FL
32168-7300
US

IV. Provider business mailing address

501 LIVE OAK ST STE A
NEW SMYRNA BEACH FL
32168-7300
US

V. Phone/Fax

Practice location:
  • Phone: 386-601-3260
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME181932
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: