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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TODD CHANCELLOR

Active Sole Proprietor

TODD CHANCELLOR is a Assisted Living Facility healthcare provider located in LANTANA, Florida. NPI 1134603129 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · LANTANA, FL

Registration Details

NPI Number
1134603129
Provider Type
Individual
Gender
Male
NPI Issued
Sep 17, 2018 (7.9385651370218 yrs)
Last Updated
May 18, 2020
License
AL12699 (FL)
Sole Proprietor
Yes

Practice Information

Address
808 S BROADWAY
LANTANA, FL, 334624400
Browse FL providers · Browse ZIP 33462
Phone
5617977203
Fax
5617973014
Primary Specialty
Assisted Living Facility
310400000X
Additional Specialty
Assisted Living Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.