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NPI Code Detail

MEDICARE: AMANDA CHAPDELAINE

MEDICARE: AMANDA CHAPDELAINE
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
1367H00000XAnesthesiologist AssistantFL

General Provider Information

NPI Number : 1215892476
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA CHAPDELAINE
Provider Business Mailing Address
First Line : 55 NE 159TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33162-4212
Country : US
Telephone Number : 305-335-6776
Fax Number :
Provider Business Practice Location Address
First Line : 800 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8202
Country : US
Telephone Number : 321-422-7159
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2025
Last Update Date : 12/19/2025

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Directions to “ AMANDA CHAPDELAINE ” Practice Location

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