Individual provider · Type 1 NPI

Chase Logan Van Dalen

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1710808308 Active

Practice location

3617 W Gandy Blvd
Tampa, FL 33611-2607

Call (813) 337-5269 Map

Mailing address

8333 Pine River Rd
Tampa, FL 33637-1011

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPSI48402 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2 other providers at this address

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About NPI 1710808308

Chase Logan Van Dalen's National Provider Identifier is 1710808308, issued on Jul 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on Jul 21, 2026.