Provider Demographics
NPI:1235602541
Name:WC DOC-CHASERS
Entity Type:Organization
Organization Name:WC DOC-CHASERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:STALLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-871-3740
Mailing Address - Street 1:5220 69TH ST E
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-9397
Mailing Address - Country:US
Mailing Address - Phone:727-871-3740
Mailing Address - Fax:863-638-5145
Practice Address - Street 1:5220 69TH ST E
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-9397
Practice Address - Country:US
Practice Address - Phone:727-871-3740
Practice Address - Fax:863-638-5145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization