| Doctor Name: | CHANI ROUNTREE |
| NPI Number: | 1295133353 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP 9327484 |
| Business Practice Address: | 1522 Gainesville Dr Deltona, FL - 327256064 |
| Business Phone Number: | 3216632670 |
| Business Fax Number: | 3867693493 |
| Mailing Address: | 1522 Gainesville Dr, DELTONA |
| State: | FL |
| Postal Code: | 327256064 |
| Phone Number: | 3216632670 |
| Fax Number: | 3867693493 |
| NPI Enumeration Date: | 12/05/2014 |
| NPI Last Update Date: | 12/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | ARNP 9327484 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |