Female

Mrs. Chandler L. Yeazitzis PA-C

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Mrs. Chandler Larsen Yeazitzis PA-C

NPI Number

1245609189

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/22/2015

Specialties

(Taxonomies)

Code

363AM0700X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

PA9109042

Contact
Information

Purpose

Mailing
Location

Address

5700 SOUTHWYCK BLVD
1 SHIRCLIFF WAY

City

Toledo
Jacksonville

State

OH
FL

Postal Code

43614-1509
32204-4748

Country

US
US

Telephone Number

(800) 288-8325
(904) 308-7300

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/09/2015

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