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

CHELSEA BASCOME

Active Sole Proprietor

CHELSEA BASCOME is a Developmental Disabilities Clinic healthcare provider located in ORANGE PARK, Florida. NPI 1447722889 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · ORANGE PARK, FL

Registration Details

NPI Number
1447722889
Provider Type
Individual
Gender
Female
NPI Issued
Dec 25, 2018 (7.6457319994718 yrs)
Last Updated
Dec 25, 2018
Sole Proprietor
Yes

Practice Information

Address
3138 WHITE HERON TRL
ORANGE PARK, FL, 320731645
Browse FL providers · Browse ZIP 32073
Phone
2524699884
Primary Specialty
Developmental Disabilities Clinic
261QD1600X
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.