Provider Demographics
NPI:1770203457
Name:CHAKALAKIS, DEBORAH FRANCES (RN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:FRANCES
Last Name:CHAKALAKIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1920 DON WICKHAM DR STE 335
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1978
Mailing Address - Country:US
Mailing Address - Phone:352-536-8644
Mailing Address - Fax:352-536-8645
Practice Address - Street 1:1920 DON WICKHAM DR STE 335
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1978
Practice Address - Country:US
Practice Address - Phone:352-536-8644
Practice Address - Fax:352-536-8645
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRN9521189163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator