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Chantal Theodore
NPI 1720630411 · on the registry since 2019
Practice
- Address
- 1222 S Orange Avenue 4th Fl
Orlando, FL 32891 - Phone
- (321) 841-6444
- Fax
- (407) 650-1307
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LF0000X
- Licence states on file
- NJ, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida