Chacon, Timo

Chacon, Timo is an individual health care provider with primary practice located at 1381 Citrus Tower Blvd Suite 4, Clermont FL 34711-1957. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Chacon, Timo can be contacted via phone (352) 243-9114.

Contact Information

Primary practice address
1381 Citrus Tower Blvd Suite 4 Clermont FL 34711-1957
Phone: (352) 243-9114
Fax: (352) 243-7822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9201656 Florida

Profile Details

NPI number 1457451726
LBN Legal business name Chacon, Timo
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Feb 10th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457451726 NPPES
Florida Other G3297 BLUE CROSS BLUE SHIELD
Florida Other P00258864 BLUE CROSS BLUE SHIELD
Florida MEDICAID 305475600 BLUE CROSS BLUE SHIELD

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