Chancellor Health Trust
NPI #1700283256 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1700283256
- Entity Type
- Organization
- Organization Name
- Chancellor Health Trust
- Primary Specialty
- Local Education Agency (LEA)
- Enumeration Date
- Nov 28, 2014
- Last Updated
- Nov 28, 2014
Practice Location
- Address
- 1850 SE 17TH ST
- Address 2
- SUITE D
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33316-3050
- Phone
- (561) 422-4248
Authorized Official
- Name
- DR. DONNA DOUGLAS
- Title
- MEDICAL DIRECTOR
- Phone
- (561) 422-4248
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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