| Doctor Name: | ERIC JAMES CHACONAS |
| NPI Number: | 1962417675 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 21730 |
| Business Practice Address: | 105 Mariner Health Way Ste 213 Saint Augustine, FL - 320863251 |
| Business Phone Number: | 9042174259 |
| Business Fax Number: | 9042174251 |
| Mailing Address: | Po Box 3123, ST AUGUSTINE |
| State: | FL |
| Postal Code: | 320853123 |
| Phone Number: | 9048244990 |
| Fax Number: | 9048242226 |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 07/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 21730 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |