Healthcare Provider Details
I. General information
NPI: 1164352787
Provider Name (Legal Business Name): CHUCK N CHILL INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
929 W MICHIGAN ST
ORLANDO FL
32805-5403
US
IV. Provider business mailing address
929 W MICHIGAN ST
ORLANDO FL
32805-5403
US
V. Phone/Fax
- Phone: 321-512-1241
- Fax: 321-512-1241
- Phone: 321-512-1241
- Fax: 321-512-1241
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHARLES
F
DELHOMME
JR.
Title or Position: CEO
Credential:
Phone: 321-512-1241