Individual provider · Type 1 NPI

Chelsea Liles, PA-C

Surgical Physician Assistant · Winter Park, FL

NPI number 1467963629 Active

Practice location

255 N Lakemont Ave Ste 207
Winter Park, FL 32792-3219

Fax (407) 743-3050

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9112179 (FL)
Surgical Physician Assistant Primary 363AS0400XPA9112179 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1467963629

Chelsea Liles, PA-C's National Provider Identifier is 1467963629, issued on Oct 16, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Winter Park, FL. The record was last updated on Aug 15, 2022.