Provider Demographics
NPI:1588212856
Name:CHAYKIN, GAIL LYNN
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:LYNN
Last Name:CHAYKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11310 NW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3558
Mailing Address - Country:US
Mailing Address - Phone:954-650-4245
Mailing Address - Fax:954-753-7438
Practice Address - Street 1:11310 NW 24TH ST
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3558
Practice Address - Country:US
Practice Address - Phone:954-650-4245
Practice Address - Fax:954-753-7438
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider