Provider Information for 1942766050
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HOLLIE CHAMBERS
Sex: Female
NPI: 1942766050
Last Updated: 2019-02-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1942766050 | ||||||||
| Enumeration Date | 2019-02-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1741 NW 73RD AVE PLANTATION, FL 33313-4447 United States Phone: 609-381-0119 | Fax: | ||||||||
| Primary Practice Address | 8400 N UNIVERSITY DR STE 318 TAMARAC, FL 33321-1713 United States Phone: 954-393-0540 | Fax: | ||||||||
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