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NPI Code Detail

MEDICARE: CHANDLER FROST

MEDICARE: CHANDLER FROST
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
1101YM0800XMental Health CounselorFL

General Provider Information

NPI Number : 1255260436
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDLER FROST
Provider Business Mailing Address
First Line : 15304 OTTO RD
Second Line :
City : TAMPA
State : FL
Zip : 33624-2213
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15304 OTTO RD
Second Line :
City : TAMPA
State : FL
Zip : 33624-2213
Country : US
Telephone Number : 727-735-5411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2026
Last Update Date : 05/14/2026

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Directions to “ CHANDLER FROST ” Practice Location

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