Healthcare Provider Details

I. General information

NPI: 1558820613
Provider Name (Legal Business Name): ALISSA CHANDLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5951 CATTLERIDGE AVE
SARASOTA FL
34232-9801
US

IV. Provider business mailing address

943 S BENEVA RD STE 306
SARASOTA FL
34232-2473
US

V. Phone/Fax

Practice location:
  • Phone: 941-366-3062
  • Fax: 941-957-1686
Mailing address:
  • Phone: 941-955-1108
  • Fax: 941-954-4440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberME173929
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: