Bertha Chavis
NPI #1679836639 in Winter Haven, Florida
Provider Information
- NPI Number
- 1679836639
- Entity Type
- Individual
- Name
- Bertha Chavis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jun 24, 2012
- Last Updated
- Jun 24, 2012
Practice Location
- Address
- 150 AVENUE U NW # C
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33881-2156
- Phone
- (407) 927-1980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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