MEDICARE: NICHOLAS CHAVIS

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
1	225100000X	Physical Therapist	PT 31166	FL

General Provider Information

NPI Number	:	1710347174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS CHAVIS

Provider Business Mailing Address
First Line	:	4440 OAK BAY DR W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-1015
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4440 OAK BAY DR W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-1015
Country	:	US
Telephone Number	:	904-504-1419
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2016
Last Update Date	:	02/28/2016

Similar Medicare Providers

1750347589 — DR. SAMUEL W. MIETLING M.D.
Practice Location Address:

2416 DUNN AVENUE
JACKSONVILLE, FL
32218-1015

Practice Phone: 904-353-3664
Practice Fax: 904-353-3858

1982796827 — KEITH K PUGH RPSGT
Practice Location Address:

1015 ONTARIO ST
JACKSONVILLE, FL
32254-2073

Practice Phone: 904-387-6606
Practice Fax:

1518266626 — VETERANS HEALTH CARE SYSTEMS NORTH FLORIDA
Practice Location Address:

1015 ONTARIO ST
JACKSONVILLE, FL
32254-2073

Practice Phone: 904-866-6914
Practice Fax:

1265069793 — LAVANDER RONELL WILKERSON JR. PT
Practice Location Address:

11451 WHISPERINGBROOK LN
JACKSONVILLE, FL
32218-1015

Practice Phone: 904-316-2693
Practice Fax:

1255773990 — ARLINGTON DIALYSIS CENTER LLC
Practice Location Address:

7645 MERRILL RD , SUITE 204
JACKSONVILLE, FL
32277-6573

Practice Phone: 904-744-6130
Practice Fax: 904-744-6131

1346170222 — DR. SAUNDRA V BAYLOR PHD, DMIN
Practice Location Address:

5972 COVERED CREEK LN
JACKSONVILLE, FL
32277-1446

Practice Phone: 904-554-9654
Practice Fax:

Directions to “ NICHOLAS CHAVIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.