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This is the individual practitioner’s name. This information is provided by the practitioner’s application at credentialing and re-credentialing, every three years. Practitioners also validate the information on a quarterly basis. When CHP receives updated information, the website is updated within 30 days.
Indicates whether the practitioner is accepting new patients into their practice, or if any special conditions apply. This information is provided by the practitioner’s application at credentialing and re-credentialing, every three years. Practitioners also validate the information on a quarterly basis. When CHP receives updated information, the website is updated within 30 days.
Refers to a branch of medicine in which the physician specializes, and has received additional education. This information is provided by the physician's application, and is verified at credentialing and re-credentialing, every three years. Physicians also validate the information annually. When CHP receives updated information, it is verified and the website is updated within 30 days.
This is the individual practitioner’s name. This information is provided by the practitioner’s application at credentialing and re-credentialing, every three years. Practitioners also validate the information on a quarterly basis. When CHP receives updated information, the website is updated within 30 days.
Refers to a branch of medicine in which the physician specializes, and has received additional education. This information is provided by the physician's application, and is verified at credentialing and re-credentialing, every three years. Physicians also validate the information annually. When CHP receives updated information, it is verified and the website is updated within 30 days.
This information is provided by the practitioner's application at credentialing and re-credentialing.
Refers to language(s) that a practitioner or their clinical office staff speaks fluently in addition to English. This information is provided by the practitioner's application at credentialing and re-credentialing, every three years. Practitioners also validate the information annually. When CHP receives updated information, the website is updated within 30 days.
Indicates that the practitioner’s office practice is accepting Medicare patients. This information is provided by the practitioner’s application, and is verified upon credentialing and re-credentialing, every three years. Practitioners also validate the information on a quarterly basis. Each practitioner’s ability to participate in the Medicare program is monitored on a monthly basis; if changes are identified and verified, the website information is updated immediately.
Indicates that the practitioner has an affiliation with a specific medical group. This information is provided by the practitioner's application at credentialing and re-credentialing, every three years. Practitioners also validate the information annually. When CHP receives updated information, the website is updated within 30 days.
213 US Highway 98
Eastpoint, FL 32328
This is the individual practitioner’s physical address. This information is provided by the practitioner’s application at credentialing and re-credentialing, every three years. Practitioners also validate the information on a quarterly basis. When CHP receives updated information, the website is updated within 30 days.
This is the individual practitioner’s general office telephone number. This information is provided by the practitioner’s application at credentialing and re-credentialing, every three years. Practitioners also validate the information on a quarterly basis. When CHP receives updated information, the website is updated within 30 days.
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