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

CHANEL ST MARTIN, PA

Active

CHANEL ST MARTIN, PA is a Physician Assistant healthcare provider located in LECANTO, Florida. NPI 1649883570 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LECANTO, FL

Registration Details

NPI Number
1649883570
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2020 (5.7774515938145 yrs)
Last Updated
Mar 12, 2025
Licenses
TPPA184 (FL)
000758-PA (PR)
8551 (AZ)
PACN1 (FL)

Practice Information

Address
2385 N LECANTO HWY
LECANTO, FL, 344619677
Browse FL providers · Browse ZIP 34461
Phone
3525276888
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LECANTO, FL

Name Credential NPI
MR. BRIAN KEITH BONOMO PAC 1124012596
STEPHEN JAMES SMENKOWSKI PA-C 1104804905
RONALD CHRISTOPHER REUDINK PA 1962467654
JOHN O GROOMS PA-C 1962549097
DAVID M NEWTON PA-C 1437297108
PATRICIA KATHLEEN SPITZER PA 1336489749
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.